Green, Amy E.

Green, Amy E. is an individual health care provider with primary practice located at 8905 Two Notch Rd , Columbia SC 29223-6367. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Green, Amy E. can be contacted via phone (803) 788-9593.

Contact Information

Primary practice address
8905 Two Notch Rd Columbia SC 29223-6367
Phone: (803) 788-9593
Fax: (803) 788-3123
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 3161 South Carolina

Profile Details

NPI number 1235190877
LBN Legal business name Green, Amy E.
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Sep 11th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235190877 NPPES
South Carolina MEDICAID ZA9724
South Carolina MEDICAID ZX3161

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