Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK L GREEN JR., DDS MSD
Active Sole ProprietorDR. JACK L GREEN JR., DDS MSD is a Orthodontics healthcare provider located in MYRTLE BEACH, South Carolina. NPI 1770608119 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · MYRTLE BEACH, SC
Registration Details
- NPI Number
- 1770608119
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 21, 2007 (19.376796007082 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1629 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1201 48TH AVE NMYRTLE BEACH, SC, 295775432Browse SC providers · Browse ZIP 29577
- Phone
- 8434491444
- Fax
- 8434492768
- Primary Specialty
-
Orthodontics
1223X0400X
Other Orthodontics Providers in MYRTLE BEACH, SC
| Name | Credential | NPI |
|---|---|---|
| DR. RUSSELL B MCCRACKEN | DMD | 1750581682 |
| JUAN FAJA-FERNANDEZ | D.M.D. | 1053754127 |
| STEPHANIE BECKER | — | 1639745326 |
| KELLY SCHWEERS | DMD, MSD | 1518719830 |
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.