Green, Theresa Ann

Green, Theresa Ann is an individual health care provider with primary practice located at 1573 Fort Campbell Blvd , Clarksville TN 37042-3535. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Green, Theresa Ann can be contacted via phone (931) 553-0919.

Contact Information

Primary practice address
1573 Fort Campbell Blvd Clarksville TN 37042-3535
Phone: (931) 553-0919
Fax: (931) 553-0971
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X DA0000010736 Tennessee

Profile Details

NPI number 1629269931
LBN Legal business name Green, Theresa Ann
Credentials Registered Dental Assistant (RDA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2007
Last updated Aug 5th, 2007 - about 18 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.

Request for update

Popular Providers