Individual provider · Type 1 NPI
Ralph M. Green, DMD
Oral and Maxillofacial Surgery (Dentist) · Louisville, KY
Practice location
3809-B Poplar Level Rd
Louisville, KY 40213-1429
Fax (502) 459-4343
Mailing address
3809-B Poplar Level Rd.
Louisville, KY 40213
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 5196 (KY) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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About NPI 1619087954
Ralph M. Green, DMD's National Provider Identifier is 1619087954, issued on Aug 30, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Louisville, KY. The record was last updated on Jun 20, 2016.