ERIC R GREEN (NPI# 1558555367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558555367 |
| Entity Type | Individual |
| Full Name | ERIC R GREEN |
| Credential | DMD |
| Practice Address |
8709 Hunters Green Dr Suite 102 Tampa FL 33647-2309 |
| Practice Telephone | 8132212273 |
| Practice Fax Number | 8139297273 |
| Mailing Telephone | 8132212273 |
| Mailing Fax Number | 8139297273 |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2009-01-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DN15829 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689182511 | Eric Melvin Green | Case Manager/Care Coordinator | 2038 24th Ave. Se, Norman, OK 73071 | 2018-01-12 |
| 1669810610 | Eric A Green | Audiologist | 92 Broadway Ste B, Denville, NJ 07834-2733 | 2013-06-12 |
| 1467769588 | Eric Douglas Green | Pathology | Nih 31 Center Dr, Building 31, Room 4b09, Bethesda, MD 20892-0001 | 2010-09-10 |
| 1629391446 | Eric Ross Green | Specialist | Fairfax Road At Virginia St., Salt Lake City, UT 84103-4399 | 2010-03-08 |
| 1093326340 | Eric Neal Green | Registered Nurse | 2600 Sw Holden St, Seattle, WA 98126-3505 | 2020-08-11 |
| 1609366293 | Eric Green | Counselor | 119 Rue Fountaine, Lafayette, LA 70508-5744 | 2018-05-18 |
| 1548761547 | Eric Anthony Green | Peer Specialist | 401 S Tustin St Bldg C, Orange, CA 92866-2550 | 2018-02-24 |
| 1871011064 | Eric Demond Green | Driver | 90 Pine St, Shepherd, TX 77371 | 2017-09-07 |
| 1447796875 | Eric Green | Nurse Practitioner | 1520 N Division St, Blytheville, AR 72315-1448 | 2017-01-09 |
| 1316284706 | Eric Douglas Green | Rehabilitation Counselor | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2013-01-07 |
| Street Address |
8709 HUNTERS GREEN DR SUITE 102 |
| City | TAMPA |
| State | FL |
| Zip Code | 33647-2309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710099353 | Aesthetic Dentistry of New Tampa | Dentist | 8709 Hunters Green Dr, Suite 102, Tampa, FL 33647-2309 | 2006-08-31 |
| 1467564088 | Fardin Zare | Dentist | 8709 Hunters Green Dr, Suite 102, Tampa, FL 33647-2309 | 2006-08-31 |
| 1902918550 | Amardeep Dave Singh | Dentist | 8709 Hunters Green Dr, Suite 102, Tampa, FL 33647-2309 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558972935 | Innovative Healthcare of Florida, Inc. | Home Health | 8903 Bruce B Downs Blvd, Tampa, FL 33647 | 2020-08-11 |
| 1093331498 | Envision In-home Companion Svcs | Home Health | 8903 Bruce B. Downs Blvd, Suite #140, Tampa, FL 33647 | 2020-06-22 |
| 1538788344 | Deanna Rene Shelpman | Massage Therapist | 15443 Plantation Oaks Dr, Apt 13, Tampa, FL 33647 | 2020-04-11 |
| 1316598998 | Paramount Health Group LLC | In Home Supportive Care | 17425 Bridge Hill Crt. Unit 200b, Tampa, FL 33647 | 2019-09-24 |
| 1174185656 | S&k Management Services | Clinical Nurse Specialist | 19046 Bruce B. Downs Blvd, Ste 177, Tampa, FL 33647 | 2019-07-03 |
| 1760040133 | Calisia Sapp | Clinic/Center | 19046 Bruce B Downs Blvd Ste B6-703, Tampa, FL 33647 | 2019-05-31 |
| 1306400106 | B2b Apps Solutions, LLC | Durable Medical Equipment & Medical Supplies | 17931 Cachet Isle Drive, Tampa, FL 33647 | 2019-04-26 |
| 1376000919 | Florida Homecare Specialists Minority Corp | Home Health | 5331 Primrose Lake Circle Unit 116, Tampa, FL 33647 | 2019-03-01 |
| 1982188157 | Dynamic Support Solutions, LLC | Home Health | 8606 Baneberry Ct, Tampa, FL 33647 | 2018-09-24 |
| 1982197430 | Erika Mendoza-hutto | Nurse Practitioner | 20713 Center Oak Dr, Tampa, FL 33647 | 2018-06-10 |
| Find all providers in zip 33647 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659816429 | Gustavo Ruiz De Castilla Dmd Pa | Dentist | 3814 W Azeele St, Tampa, FL 33609-3922 | 2017-01-03 |
| 1700281201 | Dalton Periodontal, LLC | Dentist | 4511 W Gandy Blvd, Tampa, FL 33611-3303 | 2014-10-27 |
| 1013335736 | Camille Medina Cintron | Dentist | 1741 W Fletcher Ave, Tampa, FL 33612-1820 | 2014-03-31 |
| 1023280781 | James Claude Page Jr. | Dentist | 39 Davis Blvd, Suite A, Tampa, FL 33606-3467 | 2008-04-01 |
| 1417178211 | Gustavo S Ruiz De Castilla | Dentist | 4129 W Kennedy Blvd, Suite 1, Tampa, FL 33609-2254 | 2007-05-01 |
| 1023148244 | Jan K Cornelius | Dentist | 2401 S Dale Mabry Hwy, Tampa, FL 33629-6845 | 2007-03-06 |
| 1326188384 | Maria Carmen Torres | Dentist | 4244 W Linebaugh Ave, Tampa, FL 33624-5241 | 2007-02-07 |
| 1710033774 | Patrick Todd Johnson | Dentist | 5111 Ehrlich Rd, Suite150, Tampa, FL 33624-2075 | 2007-01-25 |
| 1457410946 | T Merrell Williams, Dmd, Ms, Pa | Dentist | 4505 N Armenia Ave Ste 101, Tampa, FL 33603-2746 | 2006-12-08 |
| 1427131028 | Mark Allen Abdoney II | Dentist | 2714 W Azeele St, Tampa, FL 33609-4108 | 2006-10-24 |
| Find all providers in TAMPA | ||||
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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.