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General NPI Number Information
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NPI Number | 1053920629
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Entity Type | Organization
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Legal Business Name | CHRISTINA GREENE FAMILY DENTISTRY
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Dates
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Enumeration Date | 07/29/2020
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 8468 N RIVERSIDE DR STE 100
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City | FORT WORTH
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State | TX
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Zip | 76244-9694
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Country | US
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Telephone | 817-656-9078
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Fax | 817-656-9089
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Provider Business Mailing Address
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Address Line | 8468 N RIVERSIDE DR STE 100
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City | FORT WORTH
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State | TX
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Zip | 76244-9694
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Country | US
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Telephone | 214-218-0248
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. CHRISTINA M GREENE
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Credential | DDS
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Telephone | 214-218-0248
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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