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1912375866 NPI number — JANELLE PATRICIA GREENE D.D.S

NPI Number: 1912375866
Health Care Provider/Practitioner: JANELLE PATRICIA GREENE D.D.S

Information about “1912375866” NPI (JANELLE PATRICIA GREENE D.D.S) exists in 1912375866 in HTML format HTML  |  1912375866 in plain Text format TXT  |  1912375866 in PDF (Portable Document Format) PDF  |  1912375866 in an XML format XML  formats.

NPI Number : 1912375866 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1912375866",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GREENE",
    "FirstName": "JANELLE",
    "MiddleName": "PATRICIA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "D.D.S",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1666 GLEN OAK CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAFAYETTE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94549-2256",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "510-418-2007",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4515 HARDING PIKE STE 312",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NASHVILLE",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37205-2197",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "615-292-4100",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/09/2015",
    "LastUpdateDate": "09/24/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "1223G0001X",
          "TaxonomyName": "General Practice Dentistry",
          "LicenseNumber": "65044",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1223G0001X",
          "TaxonomyName": "General Practice Dentistry",
          "LicenseNumber": "11247",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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