Dr. Robert Tyler Green, D.D.S.
Dentist, General Practice in Conroe, TX. Individual provider (NPI-1).
NPI number1043308331
StatusActive
Last updated in NPPESFeb 26, 2008
Details
- NPI
- 1043308331
- Entity type
- Individual (NPI-1)
- Name
- Dr. Robert Tyler Green
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 11, 2006
- Last updated
- Feb 26, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 18952 | TX | Yes |
| 122300000X | Dentist | 18952 | TX |
Practice location
1805 W White Oak TerraceSuite A
Conroe, TX 77304-3950
Phone 936-588-4433 · Fax 936-588-4603
Mailing address
1805 W White Oak TerraceSuite A
Conroe, TX 77304-3950
Phone 936-588-4433 · Fax 936-588-4603
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