IndividualActive
Ty Green, DDS
NPI 1851083752 · Dentist · Medina, TN
Provider details
- NPI number
- 1851083752
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 019034200 (IL)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
23 Garrett Dr
Medina, TN 38355-9639
Phone: (731) 783-1111
Street-level locationGet directions
Mailing address
23 Garrett Dr
Medina, TN 38355-9639
Additional practice locations (1)
- 1501 N State Route 50Bourbonnais, IL 60914-4429Phone: (815) 933-7779
Registry dates
- Enumerated
- 2023-05-22
- Last updated
- 2024-12-21
- Certified
- 2024-12-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.