| Anthony Green D.d.s. | |
|
17836 Wexford Ter Suite 2e Jamaica NY 11432-3024 | |
| (718) 739-1300 | |
| (718) 739-0966 |
| Full Name | Anthony Green D.d.s. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 17836 Wexford Ter, Jamaica, New York |
| Authorized Official Name and Position | Anthony T.r. Green (ORAL SURGEON/OWNER) |
| Authorized Official Contact | 7187391300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Green D.d.s. 17836 Wexford Ter Suite 2e Jamaica NY 11432-3024 Ph: (718) 739-1300 | Anthony Green D.d.s. 17836 Wexford Ter Suite 2e Jamaica NY 11432-3024 Ph: (718) 739-1300 |
| NPI Number | 1235392283 |
|---|---|
| Provider Enumeration Date | 07/09/2008 |
| Last Update Date | 07/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235392283 | NPI | - | NPPES |
| 02166558 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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