GREEN DENTISTRY PLLC (NPI# 1366986705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366986705 |
| Entity Type | Organization |
| Organization Name | GREEN DENTISTRY PLLC |
| Practice Address |
707 24th St Ste 2a Ogden UT 84401-2580 |
| Mailing Address |
5029 S 1200 E Ogden UT 84403-4297 |
| Practice Telephone | 8016483653 |
| Mailing Telephone | 8016483653 |
| Enumeration Date | 2016-12-04 |
| Last Update Date | 2016-12-04 |
| Authorized Official Name | DR. JOHN GREEN (OWNER) |
| Authorized Official Telephone | 8016483653 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 7692415-9922 | UT | Dental Providers |
| Street Address |
707 24TH ST STE 2A |
| City | OGDEN |
| State | UT |
| Zip Code | 84401-2580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376633701 | Patricia Ann Mason | Social Worker | 707 24th St, Suite C, Ogden, UT 84401-2580 | 2006-10-14 |
| 1811329451 | Kristen Floyd | Counselor | 707 24th St, Ste D, Ogden, UT 84401-2580 | 2013-08-06 |
| 1356524847 | Sheila Taylor | Social Worker | 707 24th St, Ste D, Ogden, UT 84401-2580 | 2007-12-07 |
| 1639228760 | Vaughn Kurtis Thompson | Pharmacist | 707 24th St, Suite E, Ogden, UT 84401-2580 | 2007-01-09 |
| 1124177134 | Millennial Care Home Oxygen and Medical Services Inc | Durable Medical Equipment & Medical Supplies | 707 24th St, Suite E, Ogden, UT 84401-2580 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376183558 | Vickie Fields | Counselor | 533 26th Street Ste 100, Ogden, UT 84401 | 2020-01-15 |
| 1063059939 | Gahc4 West Haven Ut Trs Sub, LLC | Assisted Living Facility | 3518 South 2625 West, West Haven, UT 84401 | 2019-12-10 |
| 1720631880 | Kelsey Askea | Student in an Organized Health Care Education/Training Program | 2261 Washington Blvd #102, Ogden, UT 84401 | 2019-07-18 |
| 1114579596 | James Edward Fenton Jr. | Nurse Practitioner | 2351 Grant Ave Ste 201, Ogden, UT 84401 | 2019-07-15 |
| 1689144248 | Crystal Hadley | Registered Nurse | 477 23rd Street, Ogden, UT 84401 | 2018-11-27 |
| 1336632215 | Michael David Leman | Registered Nurse | 1355 Hinckley Dr, Ogden, UT 84401 | 2018-06-14 |
| 1689926313 | Lotus Park Care Centers, LLC | Assisted Living Facility | 2639 W 3520 S, West Haven, UT 84401 | 2012-10-04 |
| 1770865776 | William M Gardiner | Social Worker | 2351 Grant, Suite 103, Ogden, UT 84401 | 2011-09-15 |
| 1043509888 | Absolute Vision | Optometrist | 4645 S. Midland Dr., Suite A, West Haven, UT 84401 | 2011-04-01 |
| 1629376496 | Chad Calkins | Counselor | 502 E 22nd St, Ogden, UT 84401 | 2011-03-03 |
| Find all providers in zip 84401 | ||||
| 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 |
|---|---|---|---|---|
| 1710415245 | Joshua Jay Matthews | Dentist | 3636 Saddle Horn Trl, Ogden, KS 66517-4002 | 2017-05-29 |
| 1306391180 | Affleck Restorative & Prosthetic Dentistry | Dentist | 2537 N Washington Blvd, Ogden, UT 84414-7244 | 2016-08-22 |
| 1598128084 | Brett Ballingham | Dentist | 285 W 5600 S, Ogden, UT 84405-6867 | 2016-04-01 |
| 1770923328 | Garrett John Frost | Dentist | 1186 E 4600 S Ste 410, Ogden, UT 84403-4895 | 2013-06-27 |
| 1396032041 | Kiley Boss | Dentist | 1508 E Skyline Dr Ste 400, Ogden, UT 84405-4856 | 2011-07-01 |
| 1497065551 | John Armstrong Green | Dentist | 5029 S 1200 E, Ogden, UT 84403-4297 | 2010-10-07 |
| 1306095179 | Thomas Matthews | Dentist | 2711 N Hwy 89, Ste 100, Ogden, UT 84404-1205 | 2008-09-16 |
| 1326201765 | Kelly C Wilkins Jr. | Dentist | 2274 North 400 East, Suite 204, Ogden, UT 84414-7241 | 2008-07-07 |
| 1174791891 | Ronald Thane Hales | Dentist | 945 E 5000 S, Ogden, UT 84403-3919 | 2008-02-15 |
| 1023150679 | Bart Wilson Wolthuis | Dentist | 512 12th Street, Ogden, UT 84404 | 2007-02-12 |
| Find all providers in OGDEN | ||||
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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.