Erin Russell Green, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3688-13 Issued in MS

Practice address

1075 Lake Village Cir
Brandon, MS 39047-6743

Phone

(601) 992-1605

NPI assigned

Jun 4, 2013

Last updated

Jun 19, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Erin Green DDS PC

  dba Grants Ferry Family Dentistry

  • Dentist
  • Brandon, MS
  • NPI 1609492750
  NPD Authorized official
• Grants Ferry Family Dentistry

  • Dental Clinic/Center
  • Brandon, MS
  • NPI 1265779052
  NPD (past)

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1699113365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 LAKE VILLAGE CIR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390476743",
            "telephone_number": "601-850-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 LAKE VILLAGE CIR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390476743",
            "telephone_number": "601-992-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "ERIN",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-04",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3688-13",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barry Wyn Grantham II, ATS
• Grants Ferry Family Dentistry
• Zoe Amoret Grasee-Slenning, PT, DPT
• Gray Matters Integrative Psychology, PLLC
• Katina Gray
• Greenfield Family Healthcare Inc
• Kahaura Griffith
• Kimberly Johnson Gross, FNP, PMHNP
• Hollie Christine Morgan Grover, RDN, MS
• Amanda L Gugliano, PSY.D.

• General Practice Dentistry in Brandon, MS
• Providers in Brandon, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.