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

Mrs. Theresa Ann Green, RDA

Individual provider Dental Assistant · NPI 1629269931

Mrs. Theresa Ann Green, RDA is a Dental Assistant in Clarksville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2007.

Licensed in
TN
In the registry since
2007

Practice location Address checks out

1573 Fort Campbell Blvd
Clarksville, TN 37042-3535
Phone: (931) 553-0919
Fax: (931) 553-0971
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X · Licence DA0000010736 (TN)

Record details

NPI number1629269931
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDA
Sole proprietorNo
NPI enumeratedAugust 5, 2007
Last updated in NPPESAugust 5, 2007

Other providers in Clarksville