Green, Bryan Everett

Green, Bryan Everett is an sole proprietor health care provider with primary practice located at 431 Bellport Dr , Boiling Springs SC 29316-5389. He recently has 2 registered licenses in different health care specialties including Dental Providers / Periodontics, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Green, Bryan Everett can be contacted via phone (864) 814-2567.

Contact Information

Primary practice address
431 Bellport Dr Boiling Springs SC 29316-5389
Phone: (864) 814-2567
Fax: (864) 814-2568
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 3704 South Carolina
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 3704 South Carolina

Profile Details

NPI number 1215154687
LBN Legal business name Green, Bryan Everett
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2007
Last updated May 12th, 2011 - about 13 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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