Beverly Green, DDS

Dentist · Tamarac, FL

Individual Active NPI

NPI number 1558704122

Practice location

9440 W Commercial Blvd Ste 105
Tamarac, FL 33351-4329
Phone
(954) 900-3180
Fax
(954) 440-4388

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NPI record

NPI
1558704122
Entity type
Individual (Type 1)
Enumeration date
April 12, 2013
Last updated
February 10, 2020
Certified
February 10, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DN20478 FL

Mailing address

1841 Lyons Rd Apt 204
Coconut Creek, FL 33063-9269
Phone
(954) 854-9753

About Dr. Green

Beverly Green, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 9440 W Commercial Blvd Ste 105, Tamarac, FL 33351-4329. The NPI number 1558704122 was assigned on April 12, 2013 and the record was last updated on February 10, 2020.

Dr. Green lists a license in the registry: #DN20478 (FL) 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 Beverly Green, DDS?

The NPI number is 1558704122.

What is the phone number of Dr. Green?

The phone number listed for the practice location is (954) 900-3180.

Where is Dr. Green located?

9440 W Commercial Blvd Ste 105, Tamarac, FL 33351-4329.

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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