Ralph M Green, DMD
Dentist, Oral and Maxillofacial Surgery in Louisville, KY. Individual provider (NPI-1).
NPI number1619087954
StatusActive
Last updated in NPPESJun 20, 2016
Details
- NPI
- 1619087954
- Entity type
- Individual (NPI-1)
- Name
- Ralph M Green
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 30, 2006
- Last updated
- Jun 20, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | 5196 | KY | Yes |
Practice location
3809-B Poplar Level RdLouisville, KY 40213-1429
Phone 502-459-4273 · Fax 502-459-4343
Mailing address
3809-B Poplar Level Rd.Louisville, KY 40213
Phone 502-459-4273 · Fax 502-459-4343
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All 57 Oral and Maxillofacial Surgery (Dentist) providers in Louisville · All 27,512 providers in Louisville
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