MRS. COURTNEY ANN GREEN


Address: 15 Mercer Ave, East Hartford, CT 06118-1517
Phone: 8606225514

MRS. COURTNEY ANN GREEN (NPI# 1407004567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407004567
Entity Type Individual
Full Name MRS. COURTNEY ANN GREEN
Credential RDH
Practice Address 15 Mercer Ave
East Hartford
CT 06118-1517
Mailing Address 869 Forbes St
East Hartford
CT 06118-1958
Practice Telephone 8606225514
Practice Fax Number 8606225342
Mailing Telephone 8606225340
Mailing Fax Number 8606225342
Enumeration Date 2008-09-03
Last Update Date 2012-11-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist 006800 CT Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
CT STATE LICENSE 006800 01

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1952814493 Courtney Ann Green Nurse Practitioner 834 W Meeting St, Lancaster, SC 29720-6251 2017-11-07
1053721902 Courtney Marie Green Occupational Therapist 1900 E Main St, Lancaster, OH 43130-9302 2014-04-30
1053653980 Courtney Alyson Green Surgery 200 1st St Sw, Rochester, MN 55905-0001 2013-03-18
1356619076 Courtney A. Green Social Worker 602 Sw A Ave, Lawton, OK 73501-3930 2011-12-08

Office Location

Street Address 15 MERCER AVE
City EAST HARTFORD
State CT
Zip Code 06118-1517

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770550717 Bonnie Giardini Dental Hygienist 15 Mercer Ave, East Hartford, CT 06118-1517 2006-03-08
1811333412 Amanda Bernartz Dental Hygienist 15 Mercer Ave, East Hartford, CT 06118-1517 2013-05-22
1396994455 Kimberly Patterson Mishriky Social Worker 15 Mercer Ave, School Based Health Center, East Hartford, CT 06118-1517 2008-09-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457909665 Theresa R Gardener Home Health Aide 38 Footpath Lane, East Hartford, CT 06118 2019-08-30
1841761731 Zoey Walker Nurse Practitioner 281/287 Main Street, East Hartford, CT 06118 2018-12-17
1487147419 Nesti Risto Pharmacist 940 Silver Lane, East Hartford, CT 06118 2018-06-13
1497022578 Gifty Oteng Pharmacist 46 Fowler Ln, East Hartford, CT 06118 2011-11-17
1972556165 Hartford Headache Center, LLC Nurse Practitioner 144 Main Street, Suite D, East Hartford, CT 06118 2006-05-18
1689636045 Richard E Amaral Social Worker 281 Main Street, East Hartford, CT 06118 2006-04-03
1447789839 Gino Zaccardelli Pharmacist 16 Main St, East Hartford, CT 06118 2017-06-08
1881067247 Christina Morrissey Nurse Practitioner 281 Main St, East Hartford, CT 06118 2015-11-07
1871961052 Christina Marchitto Social Worker 281 Main Street, East Hartford, CT 06118 2015-09-04
1942592514 Chad Mcdonald Family Medicine 281 Main St, East Hartford, CT 06118 2011-05-13
Find all providers in zip 06118

Taxonomy Information

Taxonomy Code 124Q00000X
Grouping Dental Providers
Classification Dental Hygienist

Taxonomy Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831595107 Jodyann Marie Klimkewicz Dental Hygienist 94 Connecticuit Blvd, East Hartford, CT 06108 2014-11-13
1750783171 Julia Woron Dental Hygienist 16 Bantle Rd, East Hartford, CT 06118-2832 2014-09-17
1275500217 Tina Seekins Dental Hygienist 52 Farm Dr, East Hartford, CT 06108-1211 2006-03-08
1770550717 Bonnie Giardini Dental Hygienist 15 Mercer Ave, East Hartford, CT 06118-1517 2006-03-08
1386017143 Kimberly K Hutton Dental Hygienist 94 Connecticut Blvd, East Hartford, CT 06108-3013 2015-11-02
1962872002 Victoria Dubiel Dental Hygienist 94 Connecticut Blvd, East Hartford, CT 06108-3013 2015-10-01
1467828103 Natalie Lafreniere Dental Hygienist 403 Main St, East Hartford, CT 06118-1831 2015-08-17
1639576457 Victoria Nadolski Dental Hygienist 94 Connecticut Blvd, East Hartford, CT 06108-3013 2014-11-21
1144630948 Lori Gallon Dental Hygienist 763 Burnside Ave, East Hartford, CT 06108-2791 2014-05-01
1912325424 Joann Bresnahan Dental Hygienist 94 Connecticut Blvd, East Hartford, CT 06108-3013 2014-04-01
Find all providers in EAST HARTFORD

Competitor

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City EAST HARTFORD
Zip Code 06118

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Dataset Information

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.

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