DR. JORDON J GREEN (NPI# 1265695159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265695159 |
| Entity Type | Individual |
| Full Name | DR. JORDON J GREEN |
| Credential | D.D.S. |
| Practice Address |
4610 N Garfield St Ste B12 Midland TX 79705-2653 |
| Practice Telephone | 4326828941 |
| Mailing Telephone | 4326828941 |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2010-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
26098 | TX | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
7576 | AZ | Dental Providers |
| Street Address |
4610 N GARFIELD ST STE B12 |
| City | MIDLAND |
| State | TX |
| Zip Code | 79705-2653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949915 | Diyora Amanova | Dentist | 2817-b, Loop 250 Frontage Rd, Midland, TX 79705 | 2020-07-08 |
| 1821610205 | Winners Circle Group of Tx | Community/Behavioral Health | 4405 N Garfield Street, Apt. 1005, Midland, TX 79705 | 2020-05-08 |
| 1619523644 | Lillian Moreno | Physician Assistant | 3600 N Garfield St., Midland, TX 79705 | 2019-08-15 |
| 1689229429 | Michelle Ray | Student in an Organized Health Care Education/Training Program | Texas Tech University Health Science Center, 3600 N. Garfield, Midland, TX 79705 | 2019-08-08 |
| 1649825001 | Marlene Cereceres | Student in an Organized Health Care Education/Training Program | 3600 N. Garfield, Midland, TX 79705 | 2019-08-02 |
| 1194370627 | Brianne Marie Hanson | Student in an Organized Health Care Education/Training Program | 3600 North Garfield, Midland, TX 79705 | 2019-08-01 |
| 1841844685 | Stephanie Ann Johnson | Student in an Organized Health Care Education/Training Program | Texas Tech University Health Sciences Center, 3600 N. Garfield, Midland, TX 79705 | 2019-07-30 |
| 1013560093 | Andrea Silva | Licensed Practical Nurse | 2903 Ncr 1140, Midland, TX 79705 | 2019-07-19 |
| 1417509332 | Ananya Das | Physician Assistant | 3600 North Garfield St., Midland, TX 79705 | 2019-07-11 |
| 1023571767 | Wecare Tlc- Pioneer Mco | Clinic/Center | 3617 N Big Sping, Midland, TX 79705 | 2019-04-10 |
| Find all providers in zip 79705 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548870983 | Ben Philip Sylvan Bartlett | Dentist | 3000 N Garfield St Ste 220, Midland, TX 79705-6417 | 2020-07-31 |
| 1144839622 | Ryan Alexander Buda | Dentist | 2212 S Rankin Hwy Suite E Midland, Texas 79701, Midland, TX 79701 | 2020-07-30 |
| 1649889965 | Jess P West Jr. | Dentist | 12180 Us-601 South, Midland, NC 28107 | 2020-07-23 |
| 1154949915 | Diyora Amanova | Dentist | 2817-b, Loop 250 Frontage Rd, Midland, TX 79705 | 2020-07-08 |
| 1407481260 | Sdpa Management Pllc | Dentist | 4915 Jefferson Ave., Midland, MI 48640 | 2020-03-11 |
| 1013542455 | Josiah Most | Dentist | 1940 S Badour Rd, Midland, MI 48640-9595 | 2020-03-05 |
| 1932755295 | Benjamin P Lievense | Dentist | 720 W Wackerly St Ste 9, Midland, MI 48640-2769 | 2019-08-13 |
| 1427601582 | Mallory Lynne Layman | Dentist | 414 Veterans Airpark Ln, Midland, TX 79705-4570 | 2019-07-18 |
| 1528531134 | Bliss Rankin Dentistry Pllc | Dentist | 2212 S. Rankin Hwy, Suite E, Midland, TX 79701 | 2019-01-07 |
| 1780153098 | Bliss Courtyard Dentistry Pllc | Dentist | 3209 Courtyard Dr Ste D, Midland, TX 79705-3276 | 2018-11-15 |
| Find all providers in MIDLAND | ||||
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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.