| Jay C Green, D.d.s. P.a. | |
|
7500 N.w. 5 Street Suite 110 Plantation FL 33317-1612 | |
| (954) 581-9550 | |
| Not Available |
| Full Name | Jay C Green, D.d.s. P.a. |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 7500 N.w. 5 Street, Plantation, Florida |
| Authorized Official Name and Position | Jay C Green (PRESIDENT) |
| Authorized Official Contact | 9545819550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jay C Green, D.d.s. P.a. 7500 N.w. 5 Street Suite 110 Plantation FL 33317-1612 Ph: (954) 581-9550 | Jay C Green, D.d.s. P.a. 7500 N.w. 5 Street Suite 110 Plantation FL 33317-1612 Ph: (954) 581-9550 |
| NPI Number | 1811027378 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811027378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 4099 (Florida) | Primary |
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