MRS. LISA GREEN (NPI# 1760831457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760831457 |
| Entity Type | Individual |
| Full Name | MRS. LISA GREEN |
| Credential | DENTAL ASSISTANTEFDA |
| Practice Address |
10590 Enduring Freedom Dr Fort Drum NY 13602-5005 |
| Practice Telephone | 3157726234 |
| Mailing Telephone | 3157726234 |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2016-06-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558869529 | Lisa A Green | Nurse Practitioner | 50 Township Line Rd Bldg Suiteg01, Elkins Park, PA 19027-2249 | 2018-01-25 |
| 1316966047 | Lisa S. Green | Optometrist | 1180 N Court St Ste F, Circleville, OH 43113-1397 | 2006-07-19 |
| 1164402863 | Lisa R Green | Optometrist | 2400 Hospital Rd Bldg 3, Tuskegee, AL 36083 | 2006-01-19 |
| 1558349654 | Lisa Ann Green | Chiropractor | 1304 N University Dr, Coral Springs, FL 33071-6623 | 2006-01-09 |
| 1326678723 | Lisa Green | Case Management | 700 Cottage Brook Ln, Webster, NY 14580-8654 | 2020-01-24 |
| 1033779467 | Lisa H Green | Registered Nurse | 1102 Monroe St Sw, Huntsville, AL 35801-5029 | 2019-06-18 |
| 1558830596 | Lisa Green | Registered Nurse | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2018-11-20 |
| 1043795628 | Lisa Michelle Green | Counselor | 835 Mason St Ste B220, Dearborn, MI 48124-2262 | 2018-09-28 |
| 1306355797 | Lisa Diane Green | Nurse Practitioner | 650 W Lincoln Trail Blvd, Radcliff, KY 40160-2681 | 2017-09-28 |
| 1043739485 | Lisa Kay Green | Case Manager/Care Coordinator | 110 N Bailey Ave, North Platte, NE 69101-5436 | 2017-09-18 |
| Street Address |
10590 ENDURING FREEDOM DR |
| City | FORT DRUM |
| State | NY |
| Zip Code | 13602-5005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578621769 | Keith Jonathan Wilson | Dentist | 10590 Enduring Freedom Dr, Us Army Dental Activity, Fort Drum, NY 13602-5005 | 2006-12-04 |
| 1669087771 | Mitchell Garrett Lamb | Dentist | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5503 | 2020-09-15 |
| 1356955603 | Euris Miguel Mieses | Dentist | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5503 | 2020-09-03 |
| 1003464009 | Jacob Miller Allen | Dentist | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5503 | 2019-09-03 |
| 1568957694 | Sarah Marie Mcsherry | Dentist | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5503 | 2018-07-01 |
| 1134614563 | Jacob D Woodward | Dentist | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5503 | 2018-06-27 |
| 1821500802 | Bianca Garcia | Dental Hygienist | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5005 | 2017-10-30 |
| 1265976328 | Hye H Kim | Dentist | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5005 | 2016-12-08 |
| 1467803338 | Dennis Nicholson | Dental Assistant | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5005 | 2016-06-22 |
| 1841649530 | Julie Wainwright | Dental Assistant | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5005 | 2016-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235697590 | Joshua Lee Hickman | Physician Assistant | Bldg P10506 Euphrates River Valley Rd, Fort Drum, NY 13602 | 2019-03-06 |
| 1447721345 | Lisa Marie Lewis | Social Worker | 11044 Mount Belvedere Blvd, Fort Drum, NY 13602 | 2018-12-17 |
| 1720555253 | Elizabeth M Hover | Social Worker | P11050 Mt Belvedere Blvd, Fort Drum, NY 13602 | 2018-11-02 |
| 1376037424 | Phillip Dakotah Mitchell | Physician Assistant | 10020 Euphrates River Valley Road, Fort Drum, NY 13602 | 2018-06-20 |
| 1063902666 | Guthrie Ahc | Clinic/Center | P19914 M3r Tampa, Fort Drum, NY 13602 | 2018-05-18 |
| 1255846879 | Morgan Elizabeth Callari | Dental Hygienist | 10205 S Riva Ridge Loop, Fort Drum, NY 13602 | 2017-12-05 |
| 1609389097 | John Charles Bockmann | Physician Assistant | Connor Troop Medical Clinic, 10506 Euphrates River Valley Rd, Fort Drum, NY 13602 | 2017-11-08 |
| 1902318207 | Nicholas Andrew Jones | Military Health Care Provider | 10506 S. Riva Ridge, Fort Drum, NY 13602 | 2017-10-26 |
| 1508389198 | Richard Scott Christiansen | Physical Therapist | 10330 S Riva Ridge Loop, Fort Drum, NY 13602 | 2017-07-25 |
| 1811418098 | Emer B Bajuelos | Dentist | Ft Drum W07uaa 10590, Ft Drum, Apo, AP 13602 | 2017-06-28 |
| Find all providers in zip 13602 | ||||
| Taxonomy Code | 126800000X |
| Grouping | Dental Providers |
| Classification | Dental Assistant |
| An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467803338 | Dennis Nicholson | Dental Assistant | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5005 | 2016-06-22 |
| 1841649530 | Julie Wainwright | Dental Assistant | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5005 | 2016-06-03 |
| 1669821351 | Jonathan Smith | Dental Assistant | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5005 | 2016-06-03 |
| 1790134492 | Dwayne Trinidad | Dental Assistant | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5005 | 2016-06-03 |
| 1033568720 | Mary Bice | Dental Assistant | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5005 | 2016-06-03 |
| 1851740542 | Linda Cox | Dental Assistant | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5005 | 2016-06-03 |
| 1427407121 | Sue Randall-schneebeli | Dental Assistant | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5005 | 2016-06-03 |
| 1114376803 | Nelly Gutierrez | Dental Assistant | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5005 | 2016-06-03 |
| 1679922363 | Keisa Grisales | Dental Assistant | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5005 | 2016-06-03 |
| 1336598036 | Mario Lopez | Dental Assistant | 10590 Enduring Freedom Dr, Us Army Dental Activity, Fort Drum, NY 13602-5005 | 2016-06-03 |
| Find all providers in FORT DRUM | ||||
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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.