DR. JACK GREEN JR., DDS MSD
Dentist - Orthodontics and Dentofacial Orthopedics
Active
Individual
NPI: 1770608119
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Orthodontics and Dentofacial Orthopedics | 1223X0400X | Yes | 1629 (SC) |
Frequently Asked Questions
NPI 1770608119 is the National Provider Identifier for DR. JACK GREEN JR., DDS MSD, a Dentist - Orthodontics and Dentofacial Orthopedics provider located in Myrtle Beach, SC. This NPI was enumerated on March 21, 2007.
DR. JACK GREEN JR., DDS MSD practices at 1201 48TH AVE N, Myrtle Beach, SC 29577.
Quick Facts
- NPI
- 1770608119
- Type
- Individual
- Enumerated
- Mar 21, 2007
- Last Updated
- Jul 8, 2007
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