Amber Jenkins Green, DDS

General Practice Dentistry · Lithonia, GA

Individual Active NPI

NPI number 1417038712

Practice location

8200 Mall Pkwy Ste 155
Lithonia, GA 30038-6985
Phone
(770) 484-4051

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NPI record

NPI
1417038712
Entity type
Individual (Type 1)
Enumeration date
October 17, 2006
Last updated
July 13, 2022
Certified
July 13, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN012419 GA

Mailing address

8200 Mall Pkwy
Suite #155
Lithonia, GA 30038-6983
Phone
(770) 484-4051

About Dr. Green

Amber Jenkins Green, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 8200 Mall Pkwy Ste 155, Lithonia, GA 30038-6985. The NPI number 1417038712 was assigned on October 17, 2006 and the record was last updated on July 13, 2022.

Dr. Green lists a license in the registry: #DN012419 (GA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Amber Jenkins Green, DDS?

The NPI number is 1417038712.

What is the phone number of Dr. Green?

The phone number listed for the practice location is (770) 484-4051.

Where is Dr. Green located?

8200 Mall Pkwy Ste 155, Lithonia, GA 30038-6985.

What is the taxonomy code for Dr. Green?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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