DR. T L GREEN (NPI# 1427360015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427360015 |
| Entity Type | Individual |
| Full Name | DR. T L GREEN |
| Credential | DMD |
| Practice Address |
322 Dental Science S Iowa City IA 52242-1001 |
| Practice Telephone | 3193357451 |
| Mailing Telephone | 3193357451 |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2010-07-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
4099 | IA | Dental Providers |
| N | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
4099 | IA | Dental Providers |
| Street Address |
322 DENTAL SCIENCE S |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52242-1001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609866672 | Terry Lee Hopper | Dentist | 322 Dental Science S, Iowa City, IA 52242-1001 | 2005-10-21 |
| 1740775345 | Michelle Burson | Dentist | 322 Dental Science S, Iowa City, IA 52242 | 2018-06-26 |
| 1871014696 | Eric Bell | Student in an Organized Health Care Education/Training Program | 322 Dental Science S, Iowa City, IA 52242-1001 | 2017-06-30 |
| 1164942405 | Sohaib Hamdy Soliman | Student in an Organized Health Care Education/Training Program | 322 Dental Science S, Iowa City, IA 52242-1001 | 2017-06-27 |
| 1184156127 | Forrest John Pratt | Student in an Organized Health Care Education/Training Program | 322 Dental Science S, Iowa City, IA 52242-1001 | 2017-03-29 |
| 1467983098 | Molly M. Oster | Student in an Organized Health Care Education/Training Program | 322 Dental Science S, Iowa City, IA 52242-1001 | 2017-03-24 |
| 1962943001 | Clint Wire | Student in an Organized Health Care Education/Training Program | 322 Dental Science S, Iowa City, IA 52242-1001 | 2017-03-08 |
| 1003357146 | Andrew Shelby | Student in an Organized Health Care Education/Training Program | 322 Dental Science S, Iowa City, IA 52242-1001 | 2017-03-08 |
| 1841730611 | Kirsten Taylor Frazier | Student in an Organized Health Care Education/Training Program | 322 Dental Science S, Iowa City, IA 52242-1001 | 2017-02-27 |
| 1740720671 | Conner James Sherwood | Student in an Organized Health Care Education/Training Program | 322 Dental Science S, Iowa City, IA 52242-1001 | 2017-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033738679 | Shannon Louise Miers | Physical Therapist | Ui Sports Medicine (iosmr), 2701 Prairie Meadow Drive, Iowa City, IA 52242 | 2020-04-14 |
| 1821624230 | Victoria Troesch | Student in an Organized Health Care Education/Training Program | 375 Newton Rd, Iowa City, IA 52242 | 2020-03-17 |
| 1891338539 | Kira Ann Hennes Blum | Dietitian, Registered | 930 Evashevski Dr., Jacobson Building, Iowa City, IA 52242 | 2019-10-25 |
| 1407330483 | Kristin L Heider | Psychologist | 616 E Bloomington Street, Iowa City, IA 52242 | 2018-09-17 |
| 1447738398 | Allison Kral | Dietitian, Registered | 200 Hawkins Dr. W146 Gh, Iowa City, IA 52242 | 2018-08-02 |
| 1528544780 | Abigail Lynne Schiltz | Physician Assistant | 200 Hawkins Dr 01290a Pfp, Iowa City, IA 52242 | 2018-07-11 |
| 1710474259 | Bashar H. H. Abuqayas | Hospitalist | 200 Hawkins Dr, Se 636 Gh, Uihc-internal Medicine, Iowa City, IA 52242 | 2018-04-19 |
| 1023547395 | Tyler Quist | Internal Medicine | 200 Hawkins Dr Dept of Ophthalmology, Iowa City, IA 52242 | 2017-06-08 |
| 1972962371 | Angeleah Korin Whitlatch | Social Worker | 100 Hawking Drive, Iowa City, IA 52242 | 2016-02-15 |
| 1649667734 | Jennie Sertterh | Specialist/Technologist | 1 Elliot Drive, S181 Carver Hawkeye Arena, Iowa City, IA 52242 | 2015-04-16 |
| Find all providers in zip 52242 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568813780 | Carolina Cucco | Dentist | 322 Dental Science Building South, Iowa City, IA 52242-1001 | 2016-06-29 |
| 1407130420 | Rene Chu | Dentist | 341 Dental Science S, Iowa City, IA 52242-1001 | 2011-10-10 |
| 1124275490 | Jose David Vela | Dentist | Department of Endodontics, 435 Dental Science Building S., Iowa City, IA 52242 | 2008-08-19 |
| 1134317845 | Tobin Norman Drake | Dentist | 435 Dsb South, University of Iowa - College of Dentistry, Iowa City, IA 52242 | 2007-10-09 |
| 1588788756 | Fabricio Teixeira | Dentist | 341 Dental Science Bldg S, Iowa City, IA 52242-1001 | 2007-03-16 |
| 1326191149 | Lanny V Kampfe | Dentist | 1321 Sunset Street, Iowa City, IA 52246 | 2007-01-18 |
| 1427505056 | Zachary Goettsche | Dentist | 801 Newton Rd., Department of Endodontics, Iowa City, IA 52242-1010 | 2016-09-01 |
| 1629484613 | Lauren Elizabeth Jensen | Dentist | 322 Dental Science Bldg S, Iowa City, IA 52242-1001 | 2014-07-10 |
| 1689006520 | Mark Philip Sullivan | Dentist | 801 Newton Road, W341 Dental Science Building, Iowa City, IA 52242-1001 | 2013-08-02 |
| 1992967400 | Dr Lanny V Kampfe Dds Ms Ma PC | Dentist | 1321 Sunset Street, Iowa City, IA 52246 | 2008-06-26 |
| Find all providers in IOWA CITY | ||||
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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.