Chaz Dajuan Green, D.D.S.

General Practice Dentistry · Cleveland, OH

Individual Active NPI

NPI number 1942436589

Practice location

19815 Marvin Rd
Cleveland, OH 44128-4215
Phone
(216) 374-8354

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NPI record

NPI
1942436589
Entity type
Individual (Type 1)
Enumeration date
June 10, 2009
Last updated
June 10, 2009
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2826 OH

About Dr. Green

Chaz Dajuan Green, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 19815 Marvin Rd, Cleveland, OH 44128-4215. The NPI number 1942436589 was assigned on June 10, 2009 and the record was last updated on June 10, 2009.

Dr. Green lists a license in the registry: #2826 (OH) 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 Chaz Dajuan Green, D.D.S.?

The NPI number is 1942436589.

What is the phone number of Dr. Green?

The phone number listed for the practice location is (216) 374-8354.

Where is Dr. Green located?

19815 Marvin Rd, Cleveland, OH 44128-4215.

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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