Erin Russell Green, DDS

General Practice Dentistry · Brandon, MS

Individual Active NPI

NPI number 1699113365

Practice location

1075 Lake Village Cir
Brandon, MS 39047-6743
Phone
(601) 992-1605

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NPI record

NPI
1699113365
Entity type
Individual (Type 1)
Enumeration date
June 4, 2013
Last updated
June 19, 2020
Certified
June 19, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 3688-13 MS

About Dr. Green

Erin Russell Green, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1075 Lake Village Cir, Brandon, MS 39047-6743. The NPI number 1699113365 was assigned on June 4, 2013 and the record was last updated on June 19, 2020.

Dr. Green lists a license in the registry: #3688-13 (MS) 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 Erin Russell Green, DDS?

The NPI number is 1699113365.

What is the phone number of Dr. Green?

The phone number listed for the practice location is (601) 992-1605.

Where is Dr. Green located?

1075 Lake Village Cir, Brandon, MS 39047-6743.

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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