Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Gerry Bowen Green, DMD

Individual provider Dentist · NPI 1184792160

Dr. Gerry Bowen Green, DMD is a Dentist in Tupelo, Mississippi. Licensed in Alabama and Mississippi. Registered with an NPI since 2006.

Licensed in
AL, MS
In the registry since
2006
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

144 S Thomas St
Tupelo, MS 38801-5312
Phone: (662) 840-4422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence 3373-06 (MS)
Dentist Taxonomy 122300000X · Licence 5885 (AL)

Record details

NPI number1184792160
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedNovember 30, 2006
Last updated in NPPESJuly 13, 2014

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