Barry Lee Green Dmd Ms Ltd | |
716 Denbigh Blvd C-2 Newport News VA 23608-4414 | |
(757) 874-5455 | |
(757) 874-5135 |
Full Name | Barry Lee Green Dmd Ms Ltd |
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Speciality | Dentist - Periodontics |
Location | 716 Denbigh Blvd, Newport News, Virginia |
Authorized Official Name and Position | Barry Lee Green (PRESIDENT) |
Authorized Official Contact | 7578745455 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Barry Lee Green Dmd Ms Ltd 716 Denbigh Blvd C-2 Newport News VA 23608-4414 Ph: (757) 874-5455 | Barry Lee Green Dmd Ms Ltd 716 Denbigh Blvd C-2 Newport News VA 23608-4414 Ph: (757) 874-5455 |
NPI Number | 1659488088 |
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Provider Enumeration Date | 08/23/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659488088 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | VA4239 (Virginia) | Primary |
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