John Green

General Practice Dentistry · Oak Lawn, IL

Individual Active NPI

NPI number 1639747801

Practice location

10735 S Cicero Ave Ste 101
Oak Lawn, IL 60453-6210
Phone
(708) 422-2426

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NPI record

NPI
1639747801
Entity type
Individual (Type 1)
Enumeration date
June 15, 2021
Last updated
June 15, 2021
Certified
June 15, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 019.033096 IL

About John Green

John Green is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 10735 S Cicero Ave Ste 101, Oak Lawn, IL 60453-6210. The NPI number 1639747801 was assigned on June 15, 2021 and the record was last updated on June 15, 2021.

John Green lists a license in the registry: #019.033096 (IL) 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 John Green?

The NPI number is 1639747801.

What is the phone number of John Green?

The phone number listed for the practice location is (708) 422-2426.

Where is John Green located?

10735 S Cicero Ave Ste 101, Oak Lawn, IL 60453-6210.

What is the taxonomy code for John 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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