Michael Lawrence Green, DDS

Dentist · Draper, UT

Individual Active NPI

NPI number 1932181674

Practice location

286 E 12200 S
Draper, UT 84020-7817
Phone
(801) 877-3664

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NPI record

NPI
1932181674
Entity type
Individual (Type 1)
Enumeration date
November 17, 2005
Last updated
June 30, 2023
Certified
June 30, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 9257847-9921 UT
Dentist 122300000X 34706 CA

Mailing address

541 N 580 W
American Fork, UT 84003-3164
Phone
(916) 241-5515

Other practice locations (1)

  • 12465 S Fort St Ste 100, Draper, UT 84020-8354 · (801) 576-1167

About Dr. Green

Michael Lawrence Green, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 286 E 12200 S, Draper, UT 84020-7817. The NPI number 1932181674 was assigned on November 17, 2005 and the record was last updated on June 30, 2023.

Dr. Green lists 2 licenses in the registry: #9257847-9921 (UT) for Dentist; #34706 (CA) 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 Michael Lawrence Green, DDS?

The NPI number is 1932181674.

What is the phone number of Dr. Green?

The phone number listed for the practice location is (801) 877-3664.

Where is Dr. Green located?

286 E 12200 S, Draper, UT 84020-7817.

What is the taxonomy code for Dr. Green?

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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