DR. DAVID LAWRENCE GREEN (NPI# 1437438421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437438421 |
| Entity Type | Individual |
| Full Name | DR. DAVID LAWRENCE GREEN |
| Credential | D.D.S. |
| Practice Address |
2410 Samson St., Bldg 237 Great Lakes IL 60088 |
| Mailing Address |
1805 Arkansas Ave Great Lakes IL 60088-4244 |
| Practice Telephone | 5098767270 |
| Mailing Telephone | 5098767270 |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2011-08-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DE 60223505 | WA | Dental Providers |
| N | 122300000X | Dentist | 2456 | MT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295389757 | David Green | Specialist/Technologist | 401 W. Kennedy Blvd Box: I, Tampa, FL 33606 | 2019-08-01 |
| 1912484601 | David Green | Physical Therapist | 19998 Saddlebrook Dr, Lindale, TX 75771-6382 | 2018-07-25 |
| 1861846313 | David Green | Family Medicine | 102 Lexington Drive, Suite 100, Madison, MS 39110 | 2016-04-21 |
| 1215290812 | David Christopher Green | Pharmacist | 4720 Cherry Hill Rd, College Park, MD 20740-1330 | 2012-06-19 |
| 1902169758 | David Green | Physical Therapist | 1120 St. Paul St., Ground Level, Baltimore, MD 21202 | 2012-06-18 |
| 1346557246 | David Green | Social Worker | 1225 Marin Avenue, Albany, CA 94706-3289 | 2010-09-13 |
| 1770734642 | David Green Jr. | Acupuncturist | 8198 S Jog Rd Ste 203, Boynton Beach, FL 33472-6903 | 2008-10-08 |
| 1164607974 | David Emerson Green | Internal Medicine | 1670 Clairmont Rd, (rm 12c 193-mail Stop 151p), Atlanta Va Medical Center / Emory University, Decatur, GA 30033 | 2007-12-31 |
| 1982883070 | David Ari Green | Case Manager/Care Coordinator | 150 Frank Ogawa Plaza, Suite 4340, Oakland, CA 94612 | 2007-10-25 |
| 1124228283 | David Taggart Green | Pharmacist | 217 Superior Ave, Bogalusa, LA 70427-2622 | 2007-07-18 |
| Street Address |
2410 SAMSON ST., BLDG 237 |
| City | GREAT LAKES |
| State | IL |
| Zip Code | 60088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043858228 | Kathryn Ann Bird | Dentist | 3440 W Ohio St, Uss Osborne Branch Dental Clinic, Great Lakes, IL 60088 | 2019-12-18 |
| 1740775576 | Jonathan William Criter | Dentist | 3400 Ohio St, Great Lakes, IL 60088 | 2018-06-25 |
| 1134598733 | True Xiong | Dentist | Zachary & Elizabeth Fisher Medical & Dental Clinic, 2470 Sampson Street, Apo, AA 60088 | 2015-09-24 |
| 1447685771 | Lisa Carol Perrone | Dentist | Fhcc Lovell Bldg 237 Dental, Navsta Great Lakes, North Chicago, IL 60088 | 2013-09-05 |
| 1164730602 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 2430 Illinois Street, Great Lakes, IL 60088 | 2010-09-17 |
| 1598073439 | James A Lovell Federal Health Care Center | Military/U.S. Coast Guard Pharmacy | 2430 Illinois St, Bldg 1007, Great Lakes, IL 60088 | 2010-09-14 |
| 1164736302 | Clinton Lariscy | Military Health Care Provider | 3355 Illinois St, Recruit Training Command Great Lakes, Great Lakes, IL 60088 | 2010-07-29 |
| 1083943906 | James Doll | Dentist | 2608 Paul Jones St, Great Lakes, IL 60088 | 2009-12-24 |
| 1396996823 | Kelly Robert Lanning | Dentist | 3001 A 6th St Bhc 237, Naval Hospital Great Lakes- Dental Dept., Great Lakes, IL 60088 | 2008-10-02 |
| 1841453750 | Peter Jerome Hammes | Dentist | 3001a Sixth Street Bldg 200h 4e, Naval Health Clinic Great Lakes, Great Lakes, IL 60088 | 2008-07-10 |
| Find all providers in zip 60088 | ||||
| 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 |
|---|---|---|---|---|
| 1023628948 | Won Hee Yu | Dentist | 1906 Arkansas Ave, Great Lakes, IL 60088-4243 | 2020-08-05 |
| 1043858228 | Kathryn Ann Bird | Dentist | 3440 W Ohio St, Uss Osborne Branch Dental Clinic, Great Lakes, IL 60088 | 2019-12-18 |
| 1982123790 | Jennifer Ann Kolin | Dentist | 3440 Ohio St Bldg 1017, Great Lakes, IL 60088-3155 | 2017-09-12 |
| 1588995377 | David Stubbs | Dentist | 2601e Paul Jones St, Building 42, Great Lakes, IL 60088-2845 | 2010-01-19 |
| 1396996823 | Kelly Robert Lanning | Dentist | 3001 A 6th St Bhc 237, Naval Hospital Great Lakes- Dental Dept., Great Lakes, IL 60088 | 2008-10-02 |
| 1225291735 | Michael Shawn Donoghue | Dentist | 3001a Sixth St Building 1017, Great Lakes, IL 60088-5230 | 2008-07-03 |
| 1730125394 | John Paul Haxton | Dentist | Fisher Clinic, 2410 Sampson St., Bldg 237, Great Lakes, IL 60088-5230 | 2006-06-21 |
| 1487629416 | Jeffrey A Staples | Dentist | 320 B St, Bldg 38h, Great Lakes, IL 60088-2815 | 2006-02-22 |
| 1336110501 | Ritesh Dhiru Radadia | Dentist | Naval Hospital Great Lakes, Bld. 200h, Great Lakes, IL 60088 | 2006-01-27 |
| 1649257403 | John J Murphy | Dentist | 3001 A Sixth St, Great Lakes, IL 60088-5211 | 2005-12-22 |
| Find all providers in GREAT LAKES | ||||
| City | GREAT LAKES |
| Zip Code | 60088 |
Please comment or provide details below to improve the information on DR. DAVID LAWRENCE GREEN.
| 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.