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

Ty Green, DDS

Individual provider Dentist · NPI 1851083752

Ty Green, DDS is a Dentist in Medina, Tennessee. Works from 2 locations. Licensed in Illinois and Tennessee.

Licensed in
IL, TN
In the registry since
2023
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

23 Garrett Dr
Medina, TN 38355-9639
Phone: (731) 783-1111
Show map & directions

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

Additional practice locations (1)

  • 1501 N State Route 50, Bourbonnais, IL 60914-4429 — (815) 933-7779

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 12459 (TN)
Dentist Taxonomy 122300000X · Licence 019034200 (IL)

Record details

NPI number1851083752
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 22, 2023
Last updated in NPPESDecember 21, 2024
Certification dateDecember 21, 2024
Mailing address23 Garrett Dr, Medina, TN 38355-9639

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