| Greene Dental Management, Pllc | |
|
1021 S Ridgewood Ave Daytona Beach FL 32114-6151 | |
| (386) 304-2677 | |
| Not Available |
| Full Name | Greene Dental Management, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1021 S Ridgewood Ave, Daytona Beach, Florida |
| Authorized Official Name and Position | Stephen Greene (OWNER) |
| Authorized Official Contact | 8502511643 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greene Dental Management, Pllc 1021 S Ridgewood Ave Daytona Beach FL 32114-6151 Ph: (386) 304-2677 | Greene Dental Management, Pllc 1021 S Ridgewood Ave Daytona Beach FL 32114-6151 Ph: (386) 304-2677 |
| NPI Number | 1306663059 |
|---|---|
| Provider Enumeration Date | 09/24/2024 |
| Last Update Date | 09/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306663059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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