Mark Tyler Greene, D.D.S.

Dentist · Monument Valley, UT

Individual Active NPI

NPI number 1467749291

Practice location

30 West Medical Drive
Monument Valley, UT 84536
Phone
(713) 376-5004

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NPI record

NPI
1467749291
Entity type
Individual (Type 1)
Enumeration date
June 30, 2011
Last updated
September 19, 2012
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 8012613-9921 UT
Dentist 122300000X 27972 TX

Mailing address

PO Box 360005
Monument Valley, UT 84536-0005
Phone
(713) 376-5004

About Dr. Greene

Mark Tyler Greene, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 30 West Medical Drive, Monument Valley, UT 84536. The NPI number 1467749291 was assigned on June 30, 2011 and the record was last updated on September 19, 2012.

Dr. Greene lists 2 licenses in the registry: #8012613-9921 (UT) for Dentist; #27972 (TX) 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 Mark Tyler Greene, D.D.S.?

The NPI number is 1467749291.

What is the phone number of Dr. Greene?

The phone number listed for the practice location is (713) 376-5004.

Where is Dr. Greene located?

30 West Medical Drive, Monument Valley, UT 84536.

What is the taxonomy code for Dr. Greene?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

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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