DR. Gerry Bowen Green, DMD
NPI #1184792160 in Tupelo, Mississippi
Provider Information
- NPI Number
- 1184792160
- Entity Type
- Individual
- Name
- DR. Gerry Bowen Green, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Endodontics
- Credential
- DMD
- Enumeration Date
- Nov 30, 2006
- Last Updated
- Jul 13, 2014
Practice Location
- Address
- 144 S THOMAS ST
- City
- Tupelo
- State
- Mississippi
- ZIP Code
- 38801-5312
- Phone
- (662) 840-4422
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - Endodontics — Endodontics |
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