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Dr. Amanda S. Green, DMD
General Practice Dentistry in Spartanburg, South Carolina
NPI 1588783344

Amanda S. Green is a General Practice Dentistry based in Spartanburg, SC and is specialized in General Practice. Amanda S. Green practices in Spartanburg, SC and has the professional credentials of DMD. The NPI Number for Amanda S. Green is 1588783344 and holds a License No. SC 3703 (South Carolina).

The current practice location address for Amanda S. Green is 763 E. Main Street, Spartanburg, SC and can be reached out via phone at 864-585-8558 and via fax at 864-580-4242.

Location: 763 E. Main Street, Spartanburg, SC, 29302
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588783344
Provider Name
Amanda S. Green
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
763 E. Main Street, Spartanburg, SC, 29302
Phone Number
864-585-8558
Fax Number
864-580-4242
Provider Enumeration Date
03/29/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZA9313 05 SC
ZA9481 05 SC
ZX3703 05 SC
institution
Provider Business Practice Location Address Details
Address
763 E. Main Street
City
Spartanburg
State
South Carolina
Zip
29302
Phone Number
864-585-8558
Fax Number
864-580-4242
person
Provider Business Mailing Address Details
Address
763 E. Main Street
City
Spartanburg
State
South Carolina
Zip
29302
Phone Number
864-585-8558
Fax Number
864-580-4242
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
738PD (South Carolina)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
SC 3703 (South Carolina)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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