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NPI Code Detail

MEDICARE: DR. DANIELLE GREENE D.D.S

MEDICARE:  DR. DANIELLE  GREENE  D.D.S
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry011973GA

Other Identifiers

General Provider Information

NPI Number : 1336234129
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIELLE GREENE D.D.S
Provider Business Mailing Address
First Line : 1188 RALPH DAVID ABERNATHY BLVD SW
Second Line : SUITE 101
City : ATLANTA
State : GA
Zip : 30310-1716
Country : US
Telephone Number : 404-758-0770
Fax Number : 404-581-5292
Provider Business Practice Location Address
First Line : 1188 RALPH DAVID ABERNATHY BLVD SW
Second Line : SUITE 101
City : ATLANTA
State : GA
Zip : 30310-1716
Country : US
Telephone Number : 404-758-0770
Fax Number : 404-581-5292
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 12/01/2016

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Directions to “ DR. DANIELLE GREENE D.D.S” Practice Location

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