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Active NPI 1184792160 Individual Practitioner Male Practitioner

Dr. Gerry Bowen Green , DMD

Dentist - Endodontics • Tupelo, MS

Professional Overview & Biography Verified Profile Summary

Dr. Gerry Green, DMD is a registered healthcare professional specializing in Dentist - Endodontics in Tupelo, MS. Practice services are available at 144 S THOMAS ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

144 S Thomas St

Tupelo, MS 388015312

Telephone 6628404422
Associated Practice Facility / Clinic
🏢 Ms Pmr & Pmc, Pllc Facility NPI 1619178100

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in Tupelo, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Tupelo, MS (28 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License MS 3373-06

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License AL 5885

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
05973097 (MS)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Harry Cosby , DDS

Dentist - Endodontics

NPI 1205057585

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 13, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 13, 2014

Registered at 144 S THOMAS ST, TUPELO, MS 388015312 (Tel: 6628404422)

📍
Updated Business Mailing Address July 13, 2014

Registered at PO BOX 2363, TUPELO, MS 388032363 (Tel: 6628404422)

👤
Provider Name / Credentials Updated July 13, 2014

Recorded as GERRY GREEN, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2014

Dentist (License #5885 in AL)

🟢
Initial NPI Registration & Enumeration November 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184792160
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 30, 2006
Last Update: July 13, 2014
Sole Proprietor: No

Mailing Address

Po Box 2363

Tupelo, MS 388032363

Phone: 6628404422

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.