DR. John Green JR.

NPI #1285716654 in Saraland, Alabama

Provider Information

NPI Number: 1285716654
Entity Type: Individual
Name: DR. John Green JR.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 19, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1064 INDUSTRIAL PKWY
City: Saraland
State: Alabama
ZIP Code: 36571-3720
Phone: (251) 675-4313

Specialties & Taxonomy Codes

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

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