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Dr. Amy E. Green, DMD

Dentist, Pediatric Dentistry in Columbia, SC. Individual provider (NPI-1).

NPI number1235190877
StatusActive
Last updated in NPPESSep 11, 2014

Details

NPI
1235190877
Entity type
Individual (NPI-1)
Name
Dr. Amy E. Green
Credential
DMD
Sex
Female
Sole proprietor
No
Enumeration date
Mar 31, 2006
Last updated
Sep 11, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0221X Dentist, Pediatric Dentistry3161SCYes

Practice location

8905 Two Notch Rd
Columbia, SC 29223-6367

Phone 803-788-9593 · Fax 803-788-3123

Mailing address

8905 Two Notch Rd
Columbia, SC 29223-6367

Phone 803-788-9593 · Fax 803-788-3123

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