DR. MICHAEL LAXTON GREENE SR. (NPI# 1205941226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205941226 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL LAXTON GREENE SR. |
| Credential | DDS |
| Practice Address |
711 Blue Hills Ave Hartford CT 06112 |
| Practice Telephone | 8602424848 |
| Practice Fax Number | 8602428241 |
| Mailing Telephone | 8602424848 |
| Mailing Fax Number | 8602428241 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2011-06-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 7029 | CT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841764289 | Michael Cayman Greene | Specialist/Technologist | 1125 Monte Vista Ave Apt 4, Las Cruces, NM 88001-5693 | 2019-01-18 |
| 1568867117 | Michael Greene | Massage Therapist | 336 W Bedford Ave, Suite 108, Fresno, CA 93711-6185 | 2014-10-24 |
| 1073946026 | Michael David Greene | General Practice | 501 Whipporwill Dr, Morehead, KY 40351-8869 | 2013-08-13 |
| 1083755243 | Michael Shane Greene | Pharmacist | 20381 Arch St, Little Rock, AR 72206-9218 | 2007-02-09 |
| 1629012711 | Michael Smith Greene | Chiropractor | 529 Se 2nd St, Suite C, Lees Summit, MO 64063-2646 | 2006-06-16 |
| 1770521023 | Michael Greene | Radiology | 145 4th Ave Apt 14g, New York, NY 10003-4922 | 2006-06-02 |
| 1326496746 | Michael David Greene II | Emergency Medicine | 450 E Romie Ln, Salinas, CA 93901-4029 | 2016-05-26 |
| 1265892103 | Michael Joel Greene | Chiropractor | 490 Klutey Park Plaza Dr, Henderson, KY 42420-3348 | 2016-03-04 |
| 1912295502 | Michael Aaron Greene | Internal Medicine | 33155 Annapolis St, Wayne, MI 48184-2405 | 2011-07-15 |
| 1962716332 | Michael Greene | Social Worker | 24302 Northern Blvd, Little Neck, NY 11362-1150 | 2010-07-28 |
| Street Address |
711 BLUE HILLS AVE |
| City | HARTFORD |
| State | CT |
| Zip Code | 06112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841810355 | Ashwin Mahesh | Student in an Organized Health Care Education/Training Program | 131 Coventry Street, 2nd Floor, Burgdorf Clinic, Hartford, CT 06112 | 2020-04-24 |
| 1336600527 | Waleed Ibrahim | Student in an Organized Health Care Education/Training Program | Burgdorf Clinic, 131 Coventry Street 2nd Floor, Hartford, CT 06112 | 2019-03-29 |
| 1740741941 | Hajra Munawar | Student in an Organized Health Care Education/Training Program | Burgdorf Clinic 131 Coventry Street, Hartford, CT 06112 | 2019-03-29 |
| 1194191973 | Esther Wint | Nurse Practitioner | 490 Blue Ave, Hartford, CT 06112 | 2015-08-17 |
| 1194105700 | Michelle Russi | Physical Therapy Assistant | 490 Blue Hill Ave., Hartford, CT 06112 | 2015-06-09 |
| 1366858359 | Krysten N Marotta | Pharmacist | 1290 Albany Ave, Hartford, CT 06112 | 2014-07-10 |
| 1447403522 | Moon Hee Yoo | Psychiatry & Neurology | 500 Vine St., Capitol Region Mental Health Center, Hartford, CT 06112 | 2008-11-03 |
| 1992958094 | Roxann Marie Ellis-denby | Social Worker | 51 Coventry Street, Capitol Region Mental Health Center, Hartford, CT 06112 | 2008-11-03 |
| 1265590871 | The Connecticut Institute for The Blind | Intermediate Care Facility, Mentally Retarded | 120 Holcomb Street, Hartford, CT 06112 | 2006-12-05 |
| 1164580379 | Intercommunity, Inc. | Clinic/Center | 16 Coventry Street, Hartford, CT 06112 | 2006-12-04 |
| Find all providers in zip 06112 | ||||
| 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 |
|---|---|---|---|---|
| 1083237259 | Dental Smiles of Hartford, Pllc | Dentist | 550 Farmington Ave Ste B, Hartford, CT 06105-3041 | 2020-05-22 |
| 1154814069 | Signature Smiles of Hartford LLC | Dentist | 550 Farmington Avenue, Suite B, Hartford, CT 06105 | 2018-06-14 |
| 1609304542 | Mallory Elizabeth Goding | Dentist | 1000 Asylum Ave Ste 3203, Hartford, CT 06105-1702 | 2017-05-23 |
| 1962830455 | Mattheis Hartford Dental Clinic, P.C. | Dentist | 304 W. Hwy 38 Suite #138, Hartford, SD 57033-0757 | 2013-10-22 |
| 1679833958 | Seth William Griffin | Dentist | 19 W. South St, Hartford, MI 49057 | 2012-05-21 |
| 1679864631 | Peter F Wilk D.d.s. | Dentist | 1163 Grand Ave, Hartford, WI 53027-2207 | 2011-04-26 |
| 1396051165 | Dental Group of Hartford PC | Dentist | 18 Madison St, Hartford, CT 06106-2324 | 2010-08-31 |
| 1275761017 | Andrew Bruce Hamilton | Dentist | 57418 County Road 681 Ste A, Hartford, MI 49057-9422 | 2009-07-01 |
| 1023245842 | Jacob Marshall Gady | Dentist | 54 Retreat Ave, Hartford, CT 06106-2526 | 2009-06-19 |
| 1144488438 | M Brandt Bower | Dentist | 784 S Main St, Hartford, WI 53027-2407 | 2008-05-23 |
| Find all providers in HARTFORD | ||||
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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.