NPI 1689731143 · live from the CMS NPI Registry
William Nettles Green, DMD MS
Dentist, Orthodontics and Dentofacial Orthopedics in Columbia, SC. National Provider Identifier 1689731143, active.
NPI record
| NPI | 1689731143 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 3741 Landmark Drive, Columbia, SC 29204 |
| Practice phone | 803-787-1601 |
| Enumerated | January 3, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
| Other names | W Green |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 3214 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.