DR. EDWARD J GREEN (NPI# 1902050412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902050412 |
| Entity Type | Individual |
| Full Name | DR. EDWARD J GREEN |
| Credential | D.M.D. |
| Practice Address |
1505 W 3rd Ave Suite B Albany GA 31707-3647 |
| Practice Telephone | 2298833071 |
| Practice Fax Number | 2298835184 |
| Mailing Telephone | 2298833071 |
| Mailing Fax Number | 2298835184 |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2008-11-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
9807 | GA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00267044B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407082480 | Edward Carl Green | Registered Nurse | 5004 Foothills Rd, Apt E, Lake Oswego, OR 97034-3156 | 2009-06-04 |
| 1801062492 | Edward Green | Hearing Instrument Specialist | 3201 Bee Cave Rd Ste 146, Austin, TX 78746-6764 | 2008-05-02 |
| 1417179359 | Edward Michael Green | Social Worker | 1733 Vine St., Denver, CO 80206 | 2007-05-02 |
| 1578514469 | Edward Rodman Green | Psychiatry & Neurology | 106 Central Avenue, Huntsville, AL 35801-3814 | 2006-05-15 |
| 1639171515 | Edward A Green | Social Worker | 507 N Sam Houston Pkwy E, Suite 125, Houston, TX 77060-4021 | 2005-08-11 |
| 1477559102 | Edward F Green | Psychiatry & Neurology | 4037 Ne Tillamook St, Portland, OR 97212-5341 | 2005-06-27 |
| 1770015638 | Edward Green | Nurse Practitioner | 8260 Gladiolus Dr, Fort Myers, FL 33908-4156 | 2017-03-30 |
| 1962776146 | Edward Green | Counselor | 19 Union Sq W, 7th Floor, New York, NY 10003-3304 | 2012-03-06 |
| 1508196056 | Edward B Green | Chiropractor | 301 Science Dr, #100, Moorpark, CA 93021-2094 | 2010-01-06 |
| 1235308511 | Edward Dwight Green | Social Worker | 462 1st Ave, Room A414, Virology Clinic, Administration Building, New York, NY 10016-9196 | 2008-02-21 |
| Street Address |
1505 W 3RD AVE SUITE B |
| City | ALBANY |
| State | GA |
| Zip Code | 31707-3647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568512507 | Erica Lorraine Greene | Dentist | 1505 W 3rd Ave, Suite B, Albany, GA 31707-3647 | 2007-01-11 |
| 1922338128 | Jeannette Marie Pope-ozimba | Dentist | 1505 W 3rd Ave, Ste A, Albany, GA 31707-3647 | 2010-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396394011 | Barbara Cannon | Technician | 2025 Gail Avenue, Albany, GA 31707 | 2019-09-05 |
| 1669941035 | Wallace Coleman | Counselor | 2403 Osler Court, Suite B, Albany, GA 31707 | 2018-11-15 |
| 1992293955 | Tiffany Timmerman | Massage Therapist | Albany Therapeutic Massage Clinic, 1534 Dawson, Rd, Albany, GA 31707 | 2018-04-25 |
| 1225550957 | Christopher George Solomon | Nurse Practitioner | 2336 Dawson Rd., Urgent Care Center At Phoebe Northwest, Albany, GA 31707 | 2017-07-14 |
| 1689107229 | Teemercare @ Home LLC | Home Health | 1129 Dawson Rd Ste A, Albany, GA 31707 | 2017-04-11 |
| 1205373917 | Nicarro Henderson | Specialist | 2005 E Dawson Rd, Albany, GA 31707 | 2017-01-20 |
| 1235567918 | Restoration of The Minds LLC | Community/Behavioral Health | 1408 Edgerly Avenue, Albany, GA 31707 | 2013-10-16 |
| 1588091334 | Marsha Danell Glover | Pediatrics | 517 N. Westover Blvd., Albany, GA 31707 | 2013-10-10 |
| 1003253139 | Bailey Healthcare Inc | Community/Behavioral Health | 2416 Suite B Westgate Dr, Albany, GA 31707 | 2013-05-30 |
| 1346685666 | Albany Urology Surgery Center LLC | Clinic/Center | 2400 Osler Court, Albany, GA 31707 | 2013-04-30 |
| Find all providers in zip 31707 | ||||
| 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 |
|---|---|---|---|---|
| 1245860345 | Hickory St LLC | Dentist | 637 Hickory St Nw Ste 110, Albany, OR 97321-1761 | 2020-01-17 |
| 1851945372 | Alaine Tay Shomali Prevish | Dentist | 409 1st Ave Nw, Albany, OR 97321-2227 | 2019-08-01 |
| 1053971028 | Richard Randall Mcneely | Dentist | 1725 Dawson Rd, Albany, GA 31707-3362 | 2019-06-20 |
| 1417438102 | David Levine | Dentist | 888 Western Ave, Albany, NY 12203-2532 | 2018-08-22 |
| 1417440223 | Megan Raiber | Dentist | 360 Railroad Ave, Albany, MN 56307-6201 | 2018-06-07 |
| 1619386604 | Courtney Ann Miller | Dentist | 2815 Willetta St, Suite A-1, Albany, OR 97321 | 2014-08-05 |
| 1417290925 | Alexander Q Steres | Dentist | 1873 Western Ave Ste 200, Albany, NY 12203-5028 | 2013-04-03 |
| 1932447620 | Tina Jacob | Dentist | 5 Pine West Plz Ste 504, Albany, NY 12205-5587 | 2013-01-30 |
| 1669721452 | Centre' for Cosmetic Dentistry | Dentist | 2824 Gillionville Rd, Albany, GA 31721-2904 | 2012-09-07 |
| 1316222896 | Michael Jack Goger | Dentist | 1215 Hill St Se, Albany, OR 97322-3238 | 2011-10-17 |
| Find all providers in ALBANY | ||||
Please comment or provide details below to improve the information on DR. EDWARD J 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.