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General NPI Number Information
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NPI Number | 1780703322
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Entity Type | Individual
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Provider Name | DENNIS S GREENE DDS
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Gender | Male
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 01/10/2024
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Provider Practice Location Address
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Address Line | 1880 S DAIRY ASHFORD RD STE 207-413
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City | HOUSTON
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State | TX
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Zip | 77077-4760
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Country | US
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Telephone | 713-347-6833
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Fax | 713-347-9844
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Provider Business Mailing Address
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Address Line | 1880 S DAIRY ASHFORD RD STE 207-413
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City | HOUSTON
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State | TX
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Zip | 77077-4760
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Country | US
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Telephone | 713-347-6833
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Fax | 713-347-6844
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 16423
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License Number State | TX
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