DR. LARRY RUSSEL GREEN (NPI# 1245325190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245325190 |
| Entity Type | Individual |
| Full Name | DR. LARRY RUSSEL GREEN |
| Credential | DDS |
| Practice Address |
150 55th St Dental Dept. Brooklyn NY 11220-2508 |
| Practice Telephone | 7186308088 |
| Practice Fax Number | 7186306815 |
| Mailing Telephone | 7186308088 |
| Mailing Fax Number | 7186306815 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2013-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
029704 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619281979 | Larry Green | Marriage & Family Therapist | 1001 Ne 16th Ave, Gainesville, FL 32601-2511 | 2010-07-28 |
| 1912076985 | Larry Paul Green Sr. | Dentist | 102 N Egan Ave, Madison, SD 57042 | 2006-11-06 |
| 1427658673 | Larry Green | Case Manager/Care Coordinator | 111 S Byrne Rd, Toledo, OH 43615-6212 | 2020-10-27 |
| 1639627243 | Larry Green | Community Health Worker | 501 W 2600 S Ste 200, Bountiful, UT 84010-7785 | 2016-09-13 |
| 1710201405 | Larry W Green | Pharmacist | 89 Genesee St, Rochester, NY 14611-3201 | 2010-03-24 |
| 1740382704 | Larry Green | Psychologist | 216 E Luverne St, Luverne, MN 56156-1610 | 2006-09-01 |
| 1700997251 | Larry H. Green | Ophthalmology | 16055 Ventura Blvd, #630, Encino, CA 91436-2601 | 2006-08-31 |
| 1598870578 | Larry Green | Family Medicine | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2006-08-20 |
| 1982635843 | Larry S Green | Internal Medicine | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2006-07-06 |
| 1770558371 | Larry Wayne Green | Pharmacist | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2006-02-17 |
| Street Address |
150 55TH ST DENTAL DEPT. |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11220-2508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558364281 | Leslie Brown-aptekar | Genetic Counselor, MS | 150 55th St, Ste 5-04, Brooklyn, NY 11220-2559 | 2005-05-27 |
| 1649870528 | Diana Yakubova | Nurse Practitioner | 150 55th St, Brooklyn, NY 11220-2508 | 2020-10-29 |
| 1376142455 | Sammie Liu | Nurse Practitioner | 150 55th St, Brooklyn, NY 11220-2508 | 2020-10-20 |
| 1083213458 | Megan Nevers | Physical Therapist | 150 55th St, Brooklyn, NY 11220-2508 | 2020-10-18 |
| 1265030365 | Esther Liliane Kassin | Physical Therapist | 150 55th St, Brooklyn, NY 11220-2508 | 2020-10-12 |
| 1124625272 | Sharon Berger | Obstetrics & Gynecology | 150 55th St, Brooklyn, NY 11220-2508 | 2020-10-01 |
| 1649884644 | Christina Mikhael | Student in an Organized Health Care Education/Training Program | 150 55th St, Brooklyn, NY 11220-2508 | 2020-09-07 |
| 1285243378 | Safina Skaf | Nurse Practitioner | 150 55th St, Brooklyn, NY 11220-2508 | 2020-07-24 |
| 1184241853 | Cora-ann Oregan | Nurse Practitioner | 150 55th St, Brooklyn, NY 11220-2508 | 2020-06-29 |
| 1407471626 | Aaron Shea | Student in an Organized Health Care Education/Training Program | 150 55th St, Brooklyn, NY 11220-2508 | 2020-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184231797 | Tingting Chen | Nurse Practitioner | 5618 7th Ave Brooklyn, New York, NY 11220 | 2020-09-28 |
| 1194345306 | Laura Cafro | Nurse Practitioner | 150 55 Th St, Brooklyn, NY 11220 | 2020-04-17 |
| 1427680776 | Sfc Orthodontics P.C. | Dentist | 738 58th St., 1st Floor, Brooklyn, NY 11220 | 2020-02-05 |
| 1508405689 | Modern Eyes Optical LLC | Technician/Technologist | 5020 8th Ave, Modern Eyes Optical, Brooklyn, NY 11220 | 2020-01-06 |
| 1700437381 | Gabriella Scaglione | Dental Hygienist | 5800 2nd Ave, Brooklyn, NY 11220 | 2019-09-24 |
| 1316597958 | Labq Clinical Diagnostics LLC Dba Labq Diagnostics | Clinical Medical Laboratory | 140 58th St. Bldg A, Suite 3l, Brooklyn, NY 11220 | 2019-09-16 |
| 1578116265 | Jing Li | Registered Nurse | 59-56 Brooklyn, Kings, NY 11220 | 2019-07-22 |
| 1518520675 | Robert W Tan | Dentist | 3d Dental Implant Center, 5321 7th Avenue, Brooklyn, NY 11220 | 2019-04-15 |
| 1548729775 | Ayah Rashwan | Student in an Organized Health Care Education/Training Program | Nyu Langone Health 150 55th St, Brooklyn, NY 11220 | 2019-03-18 |
| 1477012854 | Jeffrey A Dang | Physician Assistant | 5517 7th Ave. #1f, Brooklyn, NY 11220 | 2019-03-15 |
| Find all providers in zip 11220 | ||||
| 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 |
|---|---|---|---|---|
| 1356960819 | Marijana Skok | Dentist | 155 N 7th St 2nd Floor, Brooklyn, NY 11249 | 2020-04-14 |
| 1558909655 | Moonlight Smile Dental PC | Dentist | 3064 Coney Island Ave Ste 1a, Brooklyn, NY 11235-6475 | 2019-12-19 |
| 1336795897 | Mark D. Debock Dds | Dentist | 7500 4th Ave Ste A1, Brooklyn, NY 11209-3209 | 2019-08-12 |
| 1891357281 | David Barton | Dentist | 374 Stanhope St, Brooklyn, NY 11237-4434 | 2019-07-05 |
| 1144889924 | Healthy Smiles Pediatric Dentistry Pllc | Dentist | 540 East New York Avenue, Brooklyn, NY 11225 | 2019-06-06 |
| 1225693724 | Mk Smile Dental PC | Dentist | 2860 Ocean Ave Apt A1, Brooklyn, NY 11235-3111 | 2019-05-09 |
| 1265095335 | Malayev Dental P.C. | Dentist | 502 39th St Apt 2f, Brooklyn, NY 11232-3025 | 2019-04-15 |
| 1518520675 | Robert W Tan | Dentist | 3d Dental Implant Center, 5321 7th Avenue, Brooklyn, NY 11220 | 2019-04-15 |
| 1073076980 | Fusion Dental, P.C. | Dentist | 2101 Bay Ridge Parkway, Medical/dental Center, Brooklyn, NY 11204 | 2019-04-08 |
| 1124595517 | Maria Jezrell Santos | Dentist | 1641 Ryder St, Brooklyn, NY 11234-4306 | 2018-10-24 |
| Find all providers in BROOKLYN | ||||
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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.