Green, Amber Jenkins
Green, Amber Jenkins is an sole proprietor health care provider with primary practice located at 8200 Mall Pkwy Ste 155 , Lithonia GA 30038-6985. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Green, Amber Jenkins can be contacted via phone (770) 484-4051.Contact Information
Primary practice address
8200 Mall Pkwy Ste 155
Lithonia GA 30038-6985
Phone: (770) 484-4051
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN012419 | Georgia |
Profile Details
| NPI number | 1417038712 |
|---|---|
| LBN Legal business name | Green, Amber Jenkins |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Jul 13th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417038712 | NPPES |
| Georgia | MEDICAID | 000945843D |
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