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Dr. Jack L Green JR., DDSMSD
Orthodontics and Dentofacial Orthopedic Dentist in Myrtle Beach, South Carolina
NPI 1770608119

Jack L Green JR. is a Orthodontics and Dentofacial Orthopedic Dentist based in Myrtle Beach, SC and is specialized in Orthodontics and Dentofacial Orthopedics. Jack L Green JR. practices in Myrtle Beach, SC and has the professional credentials of DDSMSD. The NPI Number for Jack L Green JR. is 1770608119 and holds a License No. 1629 (South Carolina).

The current practice location address for Jack L Green JR. is 1201 48Th Ave N, Myrtle Beach, SC and can be reached out via phone at 843-449-1444 and via fax at 843-449-2768.

Location: 1201 48Th Ave N, Myrtle Beach, SC, 29577-5432
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770608119
Provider Name
Jack L Green JR.
Credential
DDSMSD
Provider Entity Type
Individual
Gender
Male
Address
1201 48Th Ave N, Myrtle Beach, SC, 29577-5432
Phone Number
843-449-1444
Fax Number
843-449-2768
Provider Enumeration Date
03/21/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1201 48Th Ave N
City
Myrtle Beach
State
South Carolina
Zip
29577-5432
Phone Number
843-449-1444
Fax Number
843-449-2768
person
Provider Business Mailing Address Details
Address
1201 48Th Ave N
City
Myrtle Beach
State
South Carolina
Zip
29577-5432
Phone Number
843-449-1444
Fax Number
843-449-2768
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
1629 (South Carolina)
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
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