DR. LARRY PAUL GREEN SR. (NPI# 1912076985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912076985 |
| Entity Type | Individual |
| Full Name | DR. LARRY PAUL GREEN SR. |
| Credential | DDS |
| Practice Address |
102 N Egan Ave Madison SD 57042 |
| Mailing Address |
Po Box 243 102 N Egan Ave Madison SD 57042 |
| Practice Telephone | 6052564969 |
| Practice Fax Number | 6052564717 |
| Mailing Telephone | 6052564969 |
| Mailing Fax Number | 6052564717 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | M594 | SD | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619281979 | Larry Green | Marriage & Family Therapist | 1001 Ne 16th Ave, Gainesville, FL 32601-2511 | 2010-07-28 |
| 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 |
| 1245325190 | Larry Russel Green | Dentist | 150 55th St, Dental Dept., Brooklyn, NY 11220-2508 | 2006-10-04 |
| 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 |
102 N EGAN AVE |
| City | MADISON |
| State | SD |
| Zip Code | 57042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316493042 | Renae Christensen | Psychologist | 820 N. Washington Ave., Madison, SD 57042 | 2016-09-01 |
| 1275080889 | Lance Koenig | Psychologist | 820 North Washington Ave, Plec Dakota State University, Madison, SD 57042 | 2016-09-01 |
| 1699145532 | Counseling Associates, Alla Jones | Counselor | 726 S. Washington Ave., Madison, SD 57042 | 2015-10-05 |
| 1619222080 | Laura Elizabeth Larsen | Occupational Therapist | 917 North Washington, Madison, SD 57042 | 2012-07-20 |
| 1639470925 | Jessica Rogers | Physical Therapy Assistant | 416 South Harth Ave., Madison, SD 57042 | 2010-11-03 |
| 1093924169 | Bradley Dale Gilbert | Specialist/Technologist | 1302 N Washington Ave, Madison, SD 57042 | 2007-05-22 |
| 1659420073 | Every Citizen Counts Organization | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 706 Sw 7th St, Madison, SD 57042 | 2007-01-09 |
| 1306854062 | Michael Steven Brooke | Optometrist | 302 N Harth Avenue, Madison, SD 57042 | 2006-08-04 |
| 1336118181 | Douglas J Caron | Chiropractor | 120 Nw 2nd St, Madison, SD 57042 | 2006-03-15 |
| 1184279036 | Madison Family Dental Prof LLC | Dentist | 502 Ne 2nd St, Madison, SD 57042 | 2019-08-07 |
| Find all providers in zip 57042 | ||||
| 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 |
|---|---|---|---|---|
| 1548875305 | Andre Oliveira-shahinfar | Dentist | 6038 Gemini Dr, Madison, WI 53718-3008 | 2020-09-09 |
| 1689286254 | Rajdeepsinh Narendrasinh Dolia | Dentist | 12205 County Line Rd Ste A, Madison, AL 35758-7720 | 2020-08-17 |
| 1841815362 | Payalben Baldev Patel | Dentist | 117 Fontanelle Blvd, Madison, MS 39110-6846 | 2020-06-10 |
| 1649824830 | Applewhite Dental Wisconsin, P.C. | Dentist | 5610 Medical Cir Ste 10, Madison, WI 53719-1284 | 2019-07-26 |
| 1336792787 | Mary Catherine Decker | Dentist | 8002 Watts Rd, Madison, WI 53719-3811 | 2019-07-24 |
| 1639739345 | Matthew Douglas Smith | Dentist | 500 Lentz Dr Ste 90a, Madison, TN 37115-5135 | 2019-06-14 |
| 1790277432 | Allison Reimer | Dentist | 4602 E Washington Ave, Madison, WI 53704-3236 | 2018-05-30 |
| 1629599683 | Melissa Ashlee Morrison | Dentist | 7617 Mineral Point Rd Ste 120, Madison, WI 53717-1623 | 2017-06-29 |
| 1336692417 | Danielle Marie Meirick | Dentist | 434 Sidney St, Madison, WI 53703-1724 | 2016-07-26 |
| 1649648858 | Terry A. Burgess | Dentist | 810 Palmer Plaza, # 103, Madison, AL 35758 | 2015-09-03 |
| Find all providers in MADISON | ||||
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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.