John O. Green, Ii, Dds, Pc

LBN: John O. Green, Ii, Dds, Pc
John O. Green, Ii, Dds, Pc is an health care organization with primary practice located at 6126 Prestley Mill Rd Ste J , Douglasville GA 30134-5624. The organization recently has only one registered license in Dental Providers / Endodontics, which is considered as the primary health care specialty. John O. Green, Ii, Dds, Pc can be contacted via phone (770) 489-1450, or through Green, John O via phone (770) 489-1450.

Contact Information

Primary practice address
6126 Prestley Mill Rd Ste J Douglasville GA 30134-5624
Phone: (770) 489-1450
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Green, John O Doctor of Dental Surgery (DDS)
Phone: (770) 489-1450

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X

Profile Details

NPI number 1437764180
LBN Legal business name John O. Green, Ii, Dds, Pc
DBA Doing business as
Authorized official Green, John O Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 10th, 2020
Last updated Sep 10th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437764180 NPPES
Other 1750531414 INDIVIDUAL NPI

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