DR. JEFFREY PAUL GREEN (NPI# 1104264647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104264647 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY PAUL GREEN |
| Credential | DDS |
| Practice Address |
109 Grandview Way Missoula MT 59803-3359 |
| Practice Telephone | 7209514210 |
| Mailing Telephone | 7209514210 |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2013-06-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 5949 | MT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699395228 | Jeffrey Scott Green | Pharmacist | 3931 State Highway 37, Ogdensburg, NY 13669-4237 | 2020-04-23 |
| 1043587405 | Jeffrey David Green | Nurse Practitioner | 733 Us 1, North Palm Beach, FL 33408-4513 | 2011-11-29 |
| 1801040886 | Jeffrey Green | Registered Nurse | 13800 E Marina Dr Apt 211, Aurora, CO 80014-3785 | 2008-11-04 |
| 1932389814 | Jeffrey Robert Green | Naturopath | 8707 Jackrabbit Ln Ste A, Belgrade, MT 59714-8995 | 2007-11-08 |
| 1649480245 | Jeffrey Green | Dentist | 149 N Midland St, Merrill, MI 48637 | 2007-05-23 |
| 1558499137 | Jeffrey Harris Green | Psychiatry & Neurology | 170 Cold Soil Road, Cedar Glen Professional Association, Princeton, NJ 08540-4202 | 2007-03-02 |
| 1235275462 | Jeffrey J. Green | Physical Therapist | 1 Royal Park Dr, Ste 2, Zeeland, MI 49464-2242 | 2007-01-29 |
| 1407928849 | Jeffrey Scott Green | Chiropractor | 3020 Richfield Rd, Flint, MI 48506-2472 | 2006-11-14 |
| 1104917558 | Jeffrey L Green | Nurse Anesthetist, Certified Registered | 1524 W 5th St, Sheridan, WY 82801-2707 | 2006-09-28 |
| 1912979584 | Jeffrey Michael Green | Physician Assistant | 11555 Central Pkwy Ste 304, Jacksonville, FL 32224-2694 | 2006-02-07 |
| Street Address |
109 GRANDVIEW WAY |
| City | MISSOULA |
| State | MT |
| Zip Code | 59803-3359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700383940 | Kelsey Hamilton | Massage Therapist | 6945 Linda Vista Blvd, Missoula, MT 59803 | 2018-04-12 |
| 1225381205 | Missoula Valley Medical | Durable Medical Equipment & Medical Supplies | 3295 Cathy Ct, Missoula, MT 59803 | 2012-10-16 |
| 1790054336 | Jeffrey Michael Engel | Chiropractor | 1001 Sw Higgins Ave Ste 102, Missoula, MT 59803 | 2011-12-28 |
| 1245483338 | Carl Sivage | Pharmacist | 6035 Miller Creek Road, Missoula, MT 59803 | 2008-11-03 |
| 1356542161 | Patricia A. Lincoln | Counselor | 157 Meadowlark Ct, Missoula, MT 59803 | 2007-05-30 |
| 1295949493 | Rich Danielson | Physical Therapist | 3031 S. Russell, Suite #5, Missoula, MT 59803 | 2007-05-09 |
| 1720208226 | Cole L Macpherson | Dentist | 901 Sw Higgins, Missoula, MT 59803 | 2007-04-26 |
| 1336274109 | Robert James Whalen | Dentist | 690 Sw Higgins, Suite G, Missoula, MT 59803 | 2007-02-22 |
| 1679628671 | Pamela Marie Clausen | Counselor | 1001 Sw Higgins Ave, Suite 206, Missoula, MT 59803 | 2007-01-23 |
| 1255496386 | Kathleen Schroeder Roth | Dentist | 725 Sw Higgins Ave, Missoula, MT 59803 | 2006-12-27 |
| Find all providers in zip 59803 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255690939 | Lindsay Marie Rogers | Dentist | 3111 S Grant St, Missoula, MT 59801-8341 | 2012-05-15 |
| 1356526867 | Jared Reed Little | Dentist | 1920 S Russell St, Missoula, MT 59801-6624 | 2008-01-02 |
| 1700097805 | Annette Dusseau | Dentist | Sapphire Dental Group, PC, 2901 Brooks St., Missoula, MT 59801 | 2007-05-24 |
| 1720208226 | Cole L Macpherson | Dentist | 901 Sw Higgins, Missoula, MT 59803 | 2007-04-26 |
| 1336274109 | Robert James Whalen | Dentist | 690 Sw Higgins, Suite G, Missoula, MT 59803 | 2007-02-22 |
| 1689719320 | Joseph B Hylton | Dentist | 1009 S Reserve St, Missoula, MT 59801-3140 | 2007-02-20 |
| 1164560843 | Richard Elliott Moore | Dentist | 2901 Brooks Street, Sapphire Dental Group PC, Missoula, MT 59801 | 2007-02-02 |
| 1457497653 | Wayne L Richardson | Dentist | 918 Sw Higgins, Missoula, MT 59803-3606 | 2007-01-29 |
| 1063566172 | Ronald F Rosser Dds PC | Dentist | 690 Sw Higgins Ave, Ste H, Missoula, MT 59803-1433 | 2007-01-23 |
| 1285799304 | Gary Ray Peterson | Dentist | 3815 Stephens Ave, Missoula, MT 59801-8505 | 2006-12-27 |
| Find all providers in MISSOULA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.