Austin Revvie Green, DDS

General Practice Dentistry · Waco, TX

Individual Active NPI

NPI number 1194254714

Practice location

7911 Woodway Dr
Waco, TX 76712-3866
Phone
(254) 772-3632

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NPI record

NPI
1194254714
Entity type
Individual (Type 1)
Enumeration date
June 7, 2017
Last updated
July 21, 2022
Certified
December 10, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 33131 TX

Other practice locations (1)

  • 789 Howard Ave, New Haven, CT 06519-1304 · (203) 688-2464

About Dr. Green

Austin Revvie Green, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 7911 Woodway Dr, Waco, TX 76712-3866. The NPI number 1194254714 was assigned on June 7, 2017 and the record was last updated on July 21, 2022.

Dr. Green lists a license in the registry: #33131 (TX) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Austin Revvie Green, DDS?

The NPI number is 1194254714.

What is the phone number of Dr. Green?

The phone number listed for the practice location is (254) 772-3632.

Where is Dr. Green located?

7911 Woodway Dr, Waco, TX 76712-3866.

What is the taxonomy code for Dr. Green?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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