Green, Tiffany Priscilla
Green, Tiffany Priscilla is an individual health care provider with primary practice located at 101 Luckney Station Rd , Flowood MS 39232-8402. She recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / General Practice. Dental Providers / Pediatric Dentistry is her primary health care specialty. Green, Tiffany Priscilla can be contacted via phone (601) 992-8000.Contact Information
Primary practice address
101 Luckney Station Rd
Flowood MS 39232-8402
Phone: (601) 992-8000
Fax: (601) 992-8262
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | PEDO-399-06 | Mississippi |
| Dental Providers / General Practice | 1223G0001X | 3296-04 | Mississippi |
Profile Details
| NPI number | 1770515389 |
|---|---|
| LBN Legal business name | Green, Tiffany Priscilla |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Mar 7th, 2023 - about 3 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.
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