George P. Green DMD PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2106 Issued in SC

Legal business name

GEORGE P. GREEN DMD PA

Practice address

1192 Pope St
Turbeville, SC 29162-0459

Phone

(843) 659-2137

Fax

(843) 659-2135

NPI assigned

Dec 14, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. George Patrick Green, DMDNPI 1457512105

Title

President

Phone

(843) 659-2137

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• George Patrick Green, DMD

  • General Practice Dentistry
  • Turbeville, SC
  • NPI 1457512105
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225013964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 459",
            "city": "TURBEVILLE",
            "state": "SC",
            "postal_code": "291620459",
            "telephone_number": "843-659-2137",
            "fax_number": "843-659-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1192 POPE ST",
            "city": "TURBEVILLE",
            "state": "SC",
            "postal_code": "291620459",
            "telephone_number": "843-659-2137",
            "fax_number": "843-659-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE P. GREEN DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-659-2137",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z21067",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clarendon Memorial Hospital (East Clarendon Medical Center)
• Clarendon Memorial Hospital (East Clarendon Medical Center)
• Clarendon School District #3
• Miah Grace Coker
• East Clarendon Metro Care LLC
• Emily Dooley Gerlt, CPHT
• Gibbons Drug Company Inc (Community Pharmacy)
• William Chad Gibbons, RPH
• George Patrick Green, DMD
• Roxanne G Hardy, MCD, CCC-SLP

• General Practice Dentistry in Turbeville, SC
• Providers in Turbeville, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.