Goodwin & Green Dentistry Partnership

NPI #1982848446 in Iuka, Mississippi

Provider Information

NPI Number: 1982848446
Entity Type: Organization
Organization Name: Goodwin & Green Dentistry Partnership
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 28, 2009
Last Updated: Apr 28, 2009

Practice Location

Address: 915 BATTLEGROUND DR
City: Iuka
State: Mississippi
ZIP Code: 38852-1320
Phone: (662) 660-7142

Authorized Official

Name: DR. GERRY BOWEN GREEN, DMD
Title: PARTNER
Phone: (662) 660-7142

Specialties & Taxonomy Codes

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

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