Individual provider · Type 1 NPI

Shannon Dale Green, DMD

General Practice Dentistry · Cullman, AL

NPI number 1205914595 Active

About NPI 1205914595

Shannon Dale Green, DMD's National Provider Identifier is 1205914595, issued on Nov 2, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Cullman, AL. The record was last updated on Jul 8, 2007.