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TY GREEN DDS
NPI 1851083752
Dentist in Medina, TN

Active since May 22, 2023
23 GARRETT DR, MEDINA, TN 38355(731) 783-1111 Get Directions Write a Review

NPPES record last updated: December 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 21, 2024, May 22, 2023 (2 updates tracked since 2023).

About Ty Green Dds NPPES

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

TY GREEN DDS (NPI 1851083752) is an individual dentist in Medina, Tennessee, licensed in Tennessee (12459) and active in the NPI registry since May 2023. He maintains a secondary practice location in Bourbonnais.

NPPES Registry Identity

NPI1851083752
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameTY GREENCredential: DDS
Location Address23 GARRETT DRMedina, TN 38355-9639
Mailing Address23 Garrett DrMedina, TN 38355-9639
Phone(731) 783-1111
Sole ProprietorNo
Enumeration DateMay 22, 2023
Last NPPES UpdateDecember 21, 20242 updates tracked since enumeration
NPPES CertifiedDecember 21, 2024
✔ NPI 1851083752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in TN · 12459✔ Licensed in IL · 019034200
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
23 GARRETT DR, Medina, TN 38355
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Secondary Practice Location 1

Location 11501 N State Route 50Bourbonnais, IL 60914-4429 · Phone (815) 933-7779

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Other Providers at the Same Location NPPES 3

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

DR. BRIAN S PATTERSON D.D.S., B.S.
Dentist
23 GARRETT DR
MEDINA, TN 38355
Gibson County (731) 783-1111
PATTERSON FAMILY DENTISTRY
Dentist
23 GARRETT DR
MEDINA, TN 38355
Gibson County (731) 783-1111
GRIFFIN BRENT GALLIMORE DDS
Dentist (General Practice)
23 GARRETT DR
MEDINA, TN 38355
Gibson County (731) 783-1111

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 Ty Green's NPI number?

The NPI number for Ty Green is 1851083752. It was assigned to this individual provider in the NPPES registry on May 22, 2023.

Where is Ty Green located?

Ty Green practices at 23 Garrett Dr, Medina, TN 38355. The listed phone number is (731) 783-1111.

What is Ty Green's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Ty Green accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and BEST Life and 11 other insurers list Ty Green as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ty Green was last updated on December 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.