LAWRENCE KELTS GREEN (NPI# 1053422162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053422162 |
| Entity Type | Individual |
| Full Name | LAWRENCE KELTS GREEN |
| Credential | DDS |
| Practice Address |
7101 Hoff St Bldg 9240 Usa Dental Activity Fort Benning GA 31905-5645 |
| Practice Telephone | 7065444530 |
| Practice Fax Number | 7065441933 |
| Mailing Telephone | 7065444530 |
| Mailing Fax Number | 7065441933 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 122300000X | Dentist | 28930 | CA | Dental Providers |
| X | 1223P0700X |
Dentist Specialization: Prosthodontics |
28930 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558732735 | Lawrence Ezra Green | Family Medicine | 27 S Center St, Eustis, FL 32726-4147 | 2015-10-13 |
| 1104231570 | Lawrence Green | Registered Nurse | 6509 Nw 105th Ave, Alachua, FL 32615-7448 | 2014-06-24 |
| 1609146398 | Lawrence Green | Psychiatry & Neurology | 315 Maple Ave, Swarthmore, PA 19081-1412 | 2012-01-11 |
| 1508073693 | Lawrence J Green | Psychologist | 61 W 4th St, Winona, MN 55987 | 2007-05-17 |
| 1194857136 | Lawrence Green | Family Medicine | 23507 East Riverview Drive, Cookson, OK 74427-2471 | 2007-03-12 |
| 1508939893 | Lawrence Green | Counselor | 94 Diamond Spring Road, Denville, NJ 07834 | 2006-11-16 |
| 1700995412 | Lawrence Green | Orthopaedic Surgery | 1815 W Missouri Ave, 108, Phoenix, AZ 85015-3047 | 2006-08-29 |
| 1386692333 | Lawrence E Green | Psychiatry & Neurology | 16060 Idaho Center Blvd, Nampa, ID 83687 | 2006-05-04 |
| 1073581344 | Lawrence J. Green | Dermatology | 9601 Blackwell Rd Ste 260, Rockville, MD 20850-6487 | 2006-03-10 |
| 1962757666 | Lawrence Green | Non-emergency Medical Transport (VAN) | 810 Dutch Square Blvd, Ste 390 A, Columbia, SC 29210-0000 | 2012-07-18 |
| Street Address |
7101 HOFF ST BLDG 9240 USA DENTAL ACTIVITY |
| City | FORT BENNING |
| State | GA |
| Zip Code | 31905-5645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053425850 | Craig Jeffrey Williams | Dentist | 7101 Hoff St Bldg 9240, Usa Dental Activity, Fort Benning, GA 31905-5645 | 2006-08-18 |
| 1215583224 | Nicholas Wright | Dentist | 7101 Hoff St Bldg 9240, Fort Benning, GA 31905-5645 | 2019-08-15 |
| 1033764147 | Elena A Wiser | Dentist | 7101 Hoff St Bldg 9240, Fort Benning, GA 31905-5645 | 2019-08-06 |
| 1881177749 | Joanna Yim | Dentist | 7101 Hoff St Bldg 9240, Fort Benning, GA 31905-5645 | 2018-09-07 |
| 1043791718 | Deanne Natividad | Dentist | 7101 Hoff St Bldg 9240, Fort Benning, GA 31905-5645 | 2018-08-22 |
| 1497287932 | Robert Cosnahan Jr. | Dentist | 7101 Hoff St Bldg 9240, Usa Dental Health Activity, Fort Benning, GA 31905-5645 | 2017-04-03 |
| 1700334273 | Heather Shuta | Dental Hygienist | 7101 Hoff St Bldg 9240, Usa Dental Activity, Fort Benning, GA 31905-5645 | 2016-09-14 |
| 1154877611 | Sheri Crawford | Dentist | 7101 Hoff St Bldg 9240, Usa Dental Activity, Fort Benning, GA 31905-5645 | 2016-08-25 |
| 1740734052 | Sarah Megan Vargas | Dentist | 7101 Hoff St Bldg 9240, Usa Dental Activity, Fort Benning, GA 31905-5645 | 2016-08-04 |
| 1992258206 | Christopher M Evans | Dentist | 7101 Hoff St Bldg 9240, Usa Dental Activity, Fort Benning, GA 31905-5645 | 2016-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134741366 | Micah Elizabeth Lajoie | Specialist/Technologist | 7148 2nd Cavalry Street, Ft. Benning, GA 31905 | 2020-05-11 |
| 1598301384 | Tiffany Nicole Wolfe | Physical Therapist | 7446 Sightseeing Road, Bldg 2515, Ft Benning, GA 31905 | 2019-11-27 |
| 1790261022 | Kyle Joseph Burkardt | Dentist | Love Dental Clinic, 7101 Hoff St, Bldg 9240, Apo, AA 31905 | 2018-07-19 |
| 1821514449 | Rebekah Schott | Dentist | 7101 Hoff St., Fort Benning, GA 31905 | 2017-08-15 |
| 1043757677 | Karen Tolliver | Dental Hygienist | 7770 Sightseeing Rd, Bldg 2828, Fort Benning, GA 31905 | 2017-01-20 |
| 1356897953 | Katelyn Dolezal | Student in an Organized Health Care Education/Training Program | 6600 Van Aalst Blvd, Bldg 9250, Fort Benning, GA 31905 | 2016-09-01 |
| 1043663636 | Vicky J. Nehl | Dental Hygienist | 11th Abn Div Rd, Bldg 3255, Fort Benning, GA 31905 | 2016-07-19 |
| 1376992719 | Xenia Key | Dental Assistant | 7770 Sightseeing Road, Bernheim Dental Clinic, Fort Benning, GA 31905 | 2016-06-07 |
| 1588013189 | Barbara Parker | Dental Assistant | 2828 Sightseeing Rd, Fort Benning, GA 31905 | 2016-06-06 |
| 1568811255 | Tavonna Ashley | Dental Hygienist | 7107 Hoff Street, Apo, AA 31905 | 2016-06-03 |
| Find all providers in zip 31905 | ||||
| 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 |
|---|---|---|---|---|
| 1821514449 | Rebekah Schott | Dentist | 7101 Hoff St., Fort Benning, GA 31905 | 2017-08-15 |
| 1578811667 | Tiffanie Lashaun Garrison-jeter | Dentist | 6998 Old Cusseta Rd, Fort Benning, GA 31905-5431 | 2012-08-21 |
| 1679711097 | David Lee Redmond | Dentist | 3255 11th Airborne Div Rd, Usa Dental Activity, Salomon Dental Clinic, Fort Benning, GA 31905 | 2009-01-22 |
| 1316130123 | Lara Mesrob Yeghiasarian | Dentist | 7010 Morrison Ave Bldg 128, Dental Activity, Fort Benning, GA 31905-0102 | 2007-08-24 |
| 1295833903 | Lewis R Wayt | Dentist | 7710 Sightseeing Rd, Bldg 2826, Fort Benning, GA 31905-3764 | 2006-09-20 |
| 1053425850 | Craig Jeffrey Williams | Dentist | 7101 Hoff St Bldg 9240, Usa Dental Activity, Fort Benning, GA 31905-5645 | 2006-08-18 |
| 1083728968 | John West Bryson | Dentist | 7101 Hoff St,bldg 9240, Usa Dental Activity, Fort Benning, GA 31905 | 2006-08-18 |
| 1306457460 | Dylan Love | Dentist | 7101 Hoff St, Fort Benning, GA 31905-5645 | 2020-08-12 |
| 1760091409 | Meredith Clark | Dentist | 7101 Hoff St, Fort Benning, GA 31905-5645 | 2020-07-29 |
| 1215583224 | Nicholas Wright | Dentist | 7101 Hoff St Bldg 9240, Fort Benning, GA 31905-5645 | 2019-08-15 |
| Find all providers in FORT BENNING | ||||
| City | FORT BENNING |
| Zip Code | 31905 |
Please comment or provide details below to improve the information on LAWRENCE KELTS 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.