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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BRYAN EVERETT GREEN, D.M.D.

Active Sole Proprietor

DR. BRYAN EVERETT GREEN, D.M.D. is a Orthodontics healthcare provider located in BOILING SPRINGS, South Carolina. NPI 1215154687 is currently active in the NPPES registry. Verify at CMS.

Orthodontics · BOILING SPRINGS, SC

Registration Details

NPI Number
1215154687
Provider Type
Individual
Gender
Male
NPI Issued
Apr 19, 2007 (19.343180079649 yrs)
Last Updated
May 12, 2011
Licenses
3704 (SC)
3704 (SC)
Sole Proprietor
Yes

Practice Information

Address
431 BELLPORT DR
BOILING SPRINGS, SC, 293165389
Browse SC providers · Browse ZIP 29316
Phone
8648142567
Fax
8648142568
Primary Specialty
Orthodontics
1223X0400X
Additional Specialty
Orthodontics
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.