DR. ROOSEVELY T GREEN JR. (NPI# 1184790826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184790826 |
| Entity Type | Individual |
| Full Name | DR. ROOSEVELY T GREEN JR. |
| Credential | DDS |
| Practice Address |
600 S Green St Portsmouth VA 23704 |
| Practice Telephone | 7573993752 |
| Practice Fax Number | 7573992854 |
| Mailing Telephone | 7573993752 |
| Mailing Fax Number | 7573992854 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6417VA | VA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DOMINION | 73 | 01 | |
| CIGNA | 138479 | 01 | |
| VI | 7821701 | 05 |
| Street Address |
600 S GREEN ST |
| City | PORTSMOUTH |
| State | VA |
| Zip Code | 23704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457973588 | Ralpheana Denee Lawton | Clinic/Center | 2317 Richmond Ave, Portsmouth, VA 23704 | 2020-05-12 |
| 1376079186 | Faithful Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1509 Parker Ave, Portsmouth, VA 23704 | 2017-05-11 |
| 1285184168 | Sarah Crawford | Counselor | Harbor Point, 301 Fort Lane, Portsmouth, VA 23704 | 2016-10-04 |
| 1295137560 | Sarah Lee Arnell Rogers | Registered Nurse | 935 Blair Steet, Portsmouth, VA 23704 | 2014-09-18 |
| 1396161212 | Cheryl Denise Mcneil | Home Health | 1416 Portsmouth Boulevard, Portsmouth, VA 23704 | 2014-03-17 |
| 1609173988 | Roberta Marie Hansel-union | Behavioral Analyst | 711 Court Street, Portsmouth, VA 23704 | 2011-02-22 |
| 1447560875 | Denise Anderson Anderson | Licensed Vocational Nurse | 1227 Summit Ave, Portsmouth, VA 23704 | 2010-10-19 |
| 1770890204 | Reymond G. Pascual Md.,pc | Specialist | 704 London Blvd, Portsmouth, VA 23704 | 2010-09-03 |
| 1184820003 | Charles Seth Eisenberg | Internal Medicine | Nmcp Cardiology, 620 John Paul Jones Cir, Portsmouth, VA 23704 | 2007-06-26 |
| 1902028251 | James Bentley Treatment Program | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1020 Leckie Street, Portsmouth, VA 23704 | 2007-05-03 |
| Find all providers in zip 23704 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356818314 | Kevin W Campbell | Dentist | Norfolk Naval Shipyard Bld 277, Portsmouth, VA 23709 | 2018-10-29 |
| 1265860928 | Dynamic Dental Health Associates of Virginia,pc | Dentist | 4107 Portsmouth Blvd # 107, Portsmouth, VA 23701-2915 | 2013-10-16 |
| 1093002628 | Jillian M Harrison | Dentist | 875 Greenland Rd Unit B7, Portsmouth, NH 03801 | 2011-07-04 |
| 1750616298 | Stanley P. Tompkins | Dentist | 5830 Trucker Street, Portsmouth, VA 23703 | 2009-10-15 |
| 1881824274 | Daniel Jacob Fuhrmann | Dentist | 609 John Paul Jones Circle, Portsmouth, VA 23708 | 2009-07-20 |
| 1316119373 | Jenkins Dental Group | Dentist | 3349 Portsmouth Blvd, Portsmouth, VA 23701-3023 | 2008-03-31 |
| 1538337324 | Augustus Nogueira Jr. | Dentist | 21 King Charles Dr, Portsmouth, RI 02871-1343 | 2008-02-14 |
| 1851589899 | Ocean Shades Dental | Dentist | 230 Lafayette Rd Ste C, Portsmouth, NH 03801-5465 | 2007-10-03 |
| 1518160795 | James Nelson Rhodes | Dentist | 1305 Rodman Ave, Portsmouth, VA 23707-3916 | 2007-06-06 |
| 1720200389 | William Walter Cox | Dentist | 5717 Churchland Blvd., Portsmouth, VA 23703 | 2007-05-03 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 23704 |
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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.