Jon Tyler Green, DMD

Dentist · Ft. Sill, OK

Individual Active NPI

NPI number 1023622347

Practice location

USA Dental Health Activity
652 Hamilton Rd.
Ft. Sill, OK 73503
Phone
(580) 442-3905

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NPI record

NPI
1023622347
Entity type
Individual (Type 1)
Enumeration date
September 3, 2020
Last updated
September 3, 2020
Certified
August 31, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X D-5147 ID

About Dr. Green

Jon Tyler Green, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is USA Dental Health Activity, 652 Hamilton Rd., Ft. Sill, OK 73503. The NPI number 1023622347 was assigned on September 3, 2020 and the record was last updated on September 3, 2020.

Dr. Green lists a license in the registry: #D-5147 (ID) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jon Tyler Green, DMD?

The NPI number is 1023622347.

What is the phone number of Dr. Green?

The phone number listed for the practice location is (580) 442-3905.

Where is Dr. Green located?

USA Dental Health Activity, 652 Hamilton Rd., Ft. Sill, OK 73503.

What is the taxonomy code for Dr. Green?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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