Dr. Jack L Green Jr., DDSMSD
Dr. Jack L Green Jr., DDSMSD is an Orthodontics and Dentofacial Orthopedics Dentistry in Myrtle Beach, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.
- Licensed in
- SC
- In the registry since
- 2007
Practice location Address checks out
1201 48th Ave NMyrtle Beach, SC 29577-5432
Phone: (843) 449-1444
Fax: (843) 449-2768
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Specialties & licences
| Orthodontics and Dentofacial Orthopedics Dentistry (primary) | Taxonomy 1223X0400X · Licence 1629 (SC) |
|---|
Record details
| NPI number | 1770608119 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DDSMSD |
| Sole proprietor | Yes |
| NPI enumerated | March 21, 2007 |
| Last updated in NPPES | July 8, 2007 |
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