Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. THERESA ANN GREEN, RDA
ActiveMRS. THERESA ANN GREEN, RDA is a Dental Assistant healthcare provider located in CLARKSVILLE, Tennessee. NPI 1629269931 is currently active in the NPPES registry. Verify at CMS.
Dental Assistant · CLARKSVILLE, TN
Registration Details
- NPI Number
- 1629269931
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 5, 2007 (19.042987266138 yrs)
- Last Updated
- Aug 5, 2007
- License
-
DA0000010736 (TN)
Practice Information
- Address
-
1573 FORT CAMPBELL BLVDCLARKSVILLE, TN, 370423535Browse TN providers · Browse ZIP 37042
- Phone
- 9315530919
- Fax
- 9315530971
- Primary Specialty
-
Dental Assistant
126800000X
Other Dental Assistant Providers in CLARKSVILLE, TN
| Name | Credential | NPI |
|---|---|---|
| MRS. MICHELLE ARLENE GOODHEART | RDA | 1487418794 |
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.