Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TIFFANY PRISCILLA GREEN, D.M.D.
ActivePediatric Dentistry · FLOWOOD, MS
Registration Details
- NPI Number
- 1770515389
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 6, 2006 (19.803496610746 yrs)
- Last Updated
- Mar 7, 2023
- Licenses
-
PEDO-399-06 (MS)3296-04 (MS)
Practice Information
- Address
-
101 LUCKNEY STATION RDFLOWOOD, MS, 392328402Browse MS providers · Browse ZIP 39232
- Phone
- 6019928000
- Fax
- 6019928262
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- General Dentistry
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.