BEVERLY GREEN (NPI# 1558704122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558704122 |
| Entity Type | Individual |
| Full Name | BEVERLY GREEN |
| Credential | DDS |
| Practice Address |
9440 W Commercial Blvd Ste 105 Tamarac FL 33351-4329 |
| Mailing Address |
1841 Lyons Rd Apt 204 Coconut Creek FL 33063-9269 |
| Practice Telephone | 9549003180 |
| Practice Fax Number | 9544404388 |
| Mailing Telephone | 9548549753 |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2020-02-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN20478 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497809107 | Beverly Green | Family Medicine | 1730 Minor Ave Ste 1600, Seattle, WA 98101-1466 | 2007-01-22 |
| 1497236210 | Beverly Veronica Green | Occupational Therapist | 3 Summit Ct, Fishkill, NY 12524-1334 | 2018-08-29 |
| 1932258969 | Beverly A Green | Counselor | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2007-01-09 |
| 1972664639 | Beverly S. Green | Registered Nurse | 625 5th St, Santa Rosa, CA 95404-4428 | 2006-12-13 |
| Street Address |
9440 W COMMERCIAL BLVD STE 105 |
| City | TAMARAC |
| State | FL |
| Zip Code | 33351-4329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595945 | Nicole Walters | Nurse Practitioner | 4900 Nw 92nd Ave, Sunrise, FL 33351 | 2020-10-12 |
| 1811539141 | Springbirds Caregivers, Inc | Home Health | 8469 W Aokland Park Blvd, Sunrise, FL 33351 | 2019-10-08 |
| 1841842457 | Pacifica Sl Sunrise LLC | Assisted Living Facility | 4201 Springtree Drive, Sunrise, FL 33351 | 2019-07-13 |
| 1376019216 | Carla Sue Castiglione | Dietitian, Registered | 4800 Nob Hill Road, Sunrise, FL 33351 | 2018-10-18 |
| 1114493202 | Sunrise Family Smiles, Pa | Clinic/Center | 9440 West Commercial Blvd, Suite 105, Sunrise, FL 33351 | 2018-10-16 |
| 1134619505 | Brush Lauderhill, Pllc | Dentist | 7752 W. Commercial Blvd, Lauderhill, FL 33351 | 2018-05-11 |
| 1336658749 | Manuel Alexis Guilarte | Technician, Other | 10307 Nw 33rd Pl, Sunrise, FL 33351 | 2017-09-28 |
| 1801319009 | Latavia Cheri London | Technician, Other | 9429 Nw 42nd Street, 9429 Nw 42nd Street, Sunrise, FL 33351 | 2017-07-19 |
| 1225567662 | Maite Blanco | Counselor | 10994 Nw 40 Street, Sunrise, FL 33351 | 2017-06-08 |
| 1902335599 | Ella-shanie Benyakar | Speech-Language Pathologist | 9477 Nw 39th Pl, Sunrise, FL 33351 | 2017-06-07 |
| Find all providers in zip 33351 | ||||
| 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 |
|---|---|---|---|---|
| 1144742792 | Luz Natalia Franco Taveras | Dentist | 7300 W Mcnab Rd Ste 115, Tamarac, FL 33321 | 2017-07-14 |
| 1528443637 | Sage Dental of Tamarac Pllc | Dentist | 5779 N University Dr, Tamarac, FL 33321-4616 | 2015-07-30 |
| 1548645641 | Frank Redelius | Dentist | 7707 N University Dr Ste 201, Tamarac, FL 33321-2966 | 2015-07-30 |
| 1578961751 | Monica P Agudelo | Dentist | 10941 Periwinkle Ln, Tamarac, FL 33321-9201 | 2014-12-19 |
| 1114191335 | William Mathurin | Dentist | 7351 W Oakland Park Blvd Ste 102, Tamarac, FL 33319-7107 | 2008-04-18 |
| 1659541555 | Durgesh D. Thaker | Dentist | 5473 N State Road 7, Tamarac, FL 33319-2954 | 2008-03-06 |
| 1295904175 | Sheldon J Goodman | Dentist | 7797 N University Dr Ste 201, Tamarac, FL 33321-6107 | 2008-02-26 |
| 1992983175 | Seth David Pomerantz | Dentist | 8311 N Pine Island Rd, Tamarac, FL 33321-1539 | 2008-02-10 |
| 1649490905 | Robert J. Fish, D.d.s. | Dentist | 7737 N. University Drive, 100, Tamarac, FL 33321-2968 | 2007-04-27 |
| 1205988342 | Harvey Jerome Adelson | Dentist | 7737 N University Drive, Suite 207, Tamarac, FL 33071 | 2007-01-17 |
| Find all providers in TAMARAC | ||||
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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.