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DR. GERRY BOWEN GREEN DMD
NPI 1184792160
Dentist - Endodontics in Tupelo, MS

Active since November 30, 2006
144 S THOMAS ST, TUPELO, MS 38801(662) 840-4422 Get Directions Write a Review

NPPES record last updated: July 13, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gerry Bowen Green Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GERRY BOWEN GREEN DMD (NPI 1184792160) is an individual endodontics provider in Tupelo, Mississippi, licensed in Mississippi (3373-06) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1184792160
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. GERRY BOWEN GREENCredential: DMD
Location Address144 S THOMAS STTupelo, MS 38801-5312
Mailing AddressPo Box 2363Tupelo, MS 38803-2363 · (662) 840-4422
Phone(662) 840-4422
Sole ProprietorNo
Enumeration DateNovember 30, 2006
Last NPPES UpdateJuly 13, 2014
✔ NPI 1184792160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in MS · 3373-06
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Also ListedDentistTaxonomy 122300000X · License 5885 (AL)
144 S THOMAS ST, Tupelo, MS 38801
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Other Identifiers 1

Medicaid05973097MS

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SUSAN FRETWELL GARNER CFNP
Nurse Practitioner (Family)
144 S THOMAS ST
TUPELO, MS 38801
Lee County (662) 871-5590
JOY JOHNSON COUNSELING PLLC
Counselor (Mental Health)
144 S THOMAS ST, STE 104A
TUPELO, MS 38801
Lee County (662) 620-7102
GILBERT'S HOSPICE CARE, LLC
Hospice Care, Community Based
144 S THOMAS ST, SUITE 105
TUPELO, MS 38801
Lee County (662) 620-1050
DR. BRUCE EDWARD PORTER MD
Physical Medicine & Rehabilitation (Pain Medicine)
144 S THOMAS ST, BUILDING NUMBER 1 SUITE 101-2
TUPELO, MS 38801
Lee County (662) 841-8830
MS PMR & PMC, PLLC
Physical Medicine & Rehabilitation (Pain Medicine)
144 S THOMAS ST, BUILDING 1, SUITE 101-2
TUPELO, MS 38801
Lee County (662) 841-8830
JOSEPH MORRIS ALEXANDER PHD
Psychologist
144 S THOMAS ST, STE 104A
TUPELO, MS 38801
Lee County (662) 321-3321
MRS. CHINAH MARIE OSWALT NP
Registered Nurse
144 S THOMAS ST
TUPELO, MS 38801
Lee County (662) 844-2417

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gerry Green's NPI number?

The NPI number for Gerry Green is 1184792160. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Where is Gerry Green located?

Gerry Green practices at 144 S Thomas St, Tupelo, MS 38801. The listed phone number is (662) 840-4422.

What is Gerry Green's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Gerry Green was last updated on July 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.