Lawana J Green, DMD

NPI #1144221086 in Maynardville, Tennessee

Provider Information

NPI Number: 1144221086
Entity Type: Individual
Name: Lawana J Green, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Aug 2, 2005
Last Updated: Sep 29, 2020

Practice Location

Address: 4330 MAYNARDVILLE HWY
City: Maynardville
State: Tennessee
ZIP Code: 37807-3618
Phone: (865) 992-3849

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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Organizations

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