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NPI Code Detail

MEDICARE: DR. PATRICIA MARIE GREENE DMD

MEDICARE: DR. PATRICIA MARIE GREENE DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryD4775AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235193772
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICIA MARIE GREENE DMD
Provider Business Mailing Address
First Line : 6929 N HAYDEN RD. #C4-173
Second Line : SUITE C4-173
City : SCOTTSDALE
State : AZ
Zip : 85250-7978
Country : US
Telephone Number : 602-525-6893
Fax Number :
Provider Business Practice Location Address
First Line : 3311 E THOMAS RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85018-7302
Country : US
Telephone Number : 602-525-6893
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2006
Last Update Date : 09/04/2007

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