Eric Green, DDS

Organization Active NPI General Practice Dentistry · Childress, TX

NPI 1154580397 · NPPES record last updated Jun 3, 2008

Key facts

NPI
1154580397
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
23425 (TX)
Legal business name
ERIC GREEN, DDS
Practice address
910 Oak LN
Childress, TX 79201-2210
Phone
(940) 937-2248
Fax
(940) 937-8260
NPI assigned
Jun 3, 2008
Organization subpart
No

Authorized official

Name
Dr. Eric Coleman Green, DDS
Title
Owner
Phone
(940) 937-2248

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

910 Oak Ln
Childress, TX 79201
Phone (940) 937-2248

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 23425 TX Yes

Addresses

Primary practice location

910 Oak LN
Childress, TX 79201-2210

Mailing address

PO Box 248
Childress, TX 79201-0248
Phone (940) 937-2248

Other providers in Childress, TX

All providers in Childress, TX · General Practice Dentistry in Texas

Sources for this page

Verify at the official NPI Registry.