George Patrick Green, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2106 Issued in SC

Practice address

1192 Pope St
Turbeville, SC 29162-0459

Phone

(843) 659-2137

Fax

(843) 659-2135

NPI assigned

Jun 24, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• George P. Green DMD PA

  • General Practice Dentistry
  • Turbeville, SC
  • NPI 1225013964
  NPD (past) Authorized official

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1457512105",
    "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": {
        "last_name": "GREEN",
        "first_name": "GEORGE",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_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": []
}

• East Clarendon Metro Care LLC
• George P. Green DMD PA
• Emily Dooley Gerlt, CPHT
• Gibbons Drug Company Inc (Community Pharmacy)
• William Chad Gibbons, RPH
• Roxanne G Hardy, MCD, CCC-SLP
• Michael Hodge, MD
• JJ Bre Inc (Community Pharmacy of Turbeville)
• Della Lesane-Player
• Lindsey Lloyd, LAT, ATC

• 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 Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.