Green, Robert Tyler
Green, Robert Tyler is an sole proprietor health care provider with primary practice located at 1805 W White Oak Terrace Suite A, Conroe TX 77304-3950. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Green, Robert Tyler can be contacted via phone (936) 588-4433.Contact Information
Primary practice address
1805 W White Oak Terrace Suite A
Conroe TX 77304-3950
Phone: (936) 588-4433
Fax: (936) 588-4603
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 18952 | Texas |
Dental Providers / General Practice | 1223G0001X | 18952 | Texas |
Profile Details
NPI number | 1043308331 |
---|---|
LBN Legal business name | Green, Robert Tyler |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 11th, 2006 |
Last updated | Feb 26th, 2008 - about 16 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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