Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Gerry Bowen Green, DMD

Individual provider Dentist · NPI 1184792160

Dr. Gerry Bowen Green, DMD is a Dentist in Tupelo, Mississippi. Licensed in Alabama and Mississippi. Registered with an NPI since 2006.

Licensed in
AL, MS
In the registry since
2006
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

144 S Thomas St
Tupelo, MS 38801-5312
Phone: (662) 840-4422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence 3373-06 (MS)
Dentist Taxonomy 122300000X · Licence 5885 (AL)

Record details

NPI number1184792160
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedNovember 30, 2006
Last updated in NPPESJuly 13, 2014
Mailing addressPo Box 2363, Tupelo, MS 38803-2363

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