Dr. Gerry Bowen Green is a Tupelo, Mississippi based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Gerry Bowen Green is 3373-06 for Endodontics in Mississippi. His current practice location is 144 S Thomas St, Tupelo. Patients can reach him at 662-840-4422.
Dr. Gerry Bowen Green is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Gerry Bowen Green speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Gerry Bowen Green
Specialization:
Dentist
Gender:
Male
Credentials:
DMD
Accepts Medicare Assignment:
No
Practice Address:
144 S Thomas St, Tupelo, Mississippi, 38801-5312
Phone:
662-840-4422
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1184792160
NPI Enumeration Date:
30 Nov, 2006
NPI Last Update On:
13 Jul, 2014
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Gerry Bowen Green are as mentioned below.
License Number
Specialization
State
Status
3373-06
Endodontics
Mississippi
Primary
5885
Dentistry
Alabama
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Gerry Bowen Green such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
05973097
Medicaid
Mississippi
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 2363, Tupelo, Mississippi
Zip:
38803-2363
Phone Number:
662-840-4422
Patients can reach Dr. Gerry Bowen Green at 144 S Thomas St, Tupelo, Mississippi or can call to book an appointment on 662-840-4422. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.