Greene Dental Group, Llc in Norwich - Dental
Greene Dental Group, Llc - NPI 1497952923
Greene Dental Group, Llc is a Dental in Norwich, Connecticut. Greene Dental Group, Llc practices all healthcare services and medical treatments related to Dental. The NPI Number for Greene Dental Group, Llc is 1497952923. The last update date is 2014-06-20.
Greene Dental Group, Llc's current location address is 65 Sachem St, Norwich, Connecticut. You can contact this provider via phone number 8608898427 and fax number 8602049402. The mailing address for Greene Dental Group, Llc is 65 Sachem St, Norwich, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Greene Dental Group, Llc |
|---|---|
| Address | 65 Sachem St, Norwich, Connecticut |
| Phone Number | 8608898427 |
| Fax Number | 8602049402 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Greene Edward Jonathan |
| Credentials | DDS |
| Telephone Number | 8608898427 |
NPI Number Detail
| NPI Number | 1497952923 |
|---|---|
| Provider Enumeration Date | 2007-06-28 |
| Last Updated Date | 2014-06-20 |
Provider Mailing Address Detail
| Address | 65 Sachem St |
|---|---|
| City | Norwich |
| State | Connecticut (CT) |
| Post Code | 63604201 |
| Phone Number | 8608898427 |
| Fax Number | 8602049402 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | 9537 |
|
Definition: Provides general and specialized dental care and oral surgery. |
|
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What is the Greene Dental Group, Llc's 1497952923?
The Greene Dental Group, Llc's NPI (National Provider Identifier) Number is 1497952923. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Greene Dental Group, Llc located?
The Greene Dental Group, Llc is located at 65 Sachem St, Norwich, CT 63604201.
What is the area of specialization for Greene Dental Group, Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Greene Dental Group, Llc is Dental, and the corresponding taxonomy code that categorizes this area of expertise is 261Qd0000X.
On what date did the Greene Dental Group, Llc receive its 1497952923 assignment from the Centers for Medicare & Medicaid Services?
The Greene Dental Group, Llc was assigned its 1497952923 by the Centers for Medicare & Medicaid Services on 2007-06-28.
As of what date was the information regarding Greene Dental Group, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Greene Dental Group, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-06-20.
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