DR. ANTHONY TREVOR GREEN (NPI# 1972584969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972584969 |
| Entity Type | Individual |
| Full Name | DR. ANTHONY TREVOR GREEN |
| Credential | D. D. S. |
| Practice Address |
17836 Wexford Ter Suite 2e Jamaica NY 11432-3024 |
| Practice Telephone | 7187391300 |
| Practice Fax Number | 7187390966 |
| Mailing Telephone | 7187391300 |
| Mailing Fax Number | 7187390966 |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2014-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
0473299 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02166558 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326548603 | Anthony Darius Green | Physical Therapy Assistant | 6248 103rd St Ste 105, Jacksonville, FL 32210-7733 | 2018-02-13 |
| 1831414325 | Anthony J Green Sr. | Physical Therapist | 108 E Sanders St, Gonzales, LA 70737-3144 | 2010-03-29 |
| 1932395399 | Anthony Laurence Green | Chiropractor | 1011 Desperado Trl Ste 202, Sisters, OR 97759-9580 | 2007-09-19 |
| 1154930188 | Anthony Green | Behavior Technician | 15703 Longenbaugh Dr, Suite H, Houston, TX 77095-1605 | 2020-07-27 |
| 1326538653 | Anthony Green | Technician, Other | 1001 W Cypress Creek Rd, Fort Lauderdale, FL 33309-1900 | 2018-05-11 |
| 1184060816 | Anthony Laine Green | Psychiatry & Neurology | 1 Medical Center Dr, Lebanon, NH 03756 | 2013-05-21 |
| 1134562226 | Anthony Green | Respiratory Therapist, Registered | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2013-04-09 |
| 1114228947 | Anthony Louis Green | Occupational Therapy Assistant | 2905 Connelly Ave, Bellingham, WA 98225-8225 | 2010-11-10 |
| 1972677003 | Anthony J Green | Psychiatry & Neurology | 1088 State Route 34, Matawan, NJ 07747-1948 | 2006-11-20 |
| Street Address |
17836 WEXFORD TER SUITE 2E |
| City | JAMAICA |
| State | NY |
| Zip Code | 11432-3024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235392283 | Anthony T.r. Green D.d.s.p.c. | Dentist | 17836 Wexford Ter, Suite 2e, Jamaica, NY 11432-3024 | 2008-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396361259 | Banani Road 11 LLC | Pharmacy | 181-04 Hillside Ave, Jamaica, NY 11432 | 2020-06-17 |
| 1023633450 | Staphanie Anang | Licensed Practical Nurse | 30 Wexford Terrace Apt 3 Jj., Jamaica, NY 11432 | 2020-06-11 |
| 1205459476 | Jasmine Kaur Sandhu | Student in an Organized Health Care Education/Training Program | 87-68 164th St, N Building, 7th Floor, Rm N733, Jamaica, NY 11432 | 2020-05-22 |
| 1225650385 | Alli El-ijla | Student in an Organized Health Care Education/Training Program | Queens Hospital Center 82-68 164th Street, Jamaica, NY 11432 | 2020-05-12 |
| 1346869955 | Liane Zwetzich | Student in an Organized Health Care Education/Training Program | Queens Hospital Center, 82-68 164th Street, Jamaica, NY 11432 | 2020-04-14 |
| 1528697141 | Bahtiyar Toz | Student in an Organized Health Care Education/Training Program | 82-68 164th Street Queens Hospital Center, Jamaica, NY 11432 | 2020-04-06 |
| 1366089468 | Alisha Jnobaptiste | Counselor | 87-59 171 St., Jamaica, NY 11432 | 2019-12-08 |
| 1356995054 | Shawnette Natasha Brown | Counselor | 178-02/04 Jamaica Ave, Jamaica, NY 11432 | 2019-07-31 |
| 1518527142 | Magdalene Vidal | Case Manager/Care Coordinator | 177 30 Wexford Terrace, Suite A, Jamaica, NY 11432 | 2019-06-17 |
| 1811550338 | Rong Fan | Student in an Organized Health Care Education/Training Program | 88-68 164th St, Dept of Ob/gyn Rm B265, Jamaica, NY 11432 | 2019-04-19 |
| Find all providers in zip 11432 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316041924 | Mary Immaculate Hospital | Dentist | 11449 Sutphin Blvd, Jamaica, NY 11434-1022 | 2006-09-12 |
| 1235392283 | Anthony T.r. Green D.d.s.p.c. | Dentist | 17836 Wexford Ter, Suite 2e, Jamaica, NY 11432-3024 | 2008-07-09 |
| 1205098613 | Trina Sengupta | Dentist | 8900 Van Wyck Expy, Jamaica, NY 11418-2832 | 2008-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053921643 | Upper West Side Oral & Maxillofacial Surgery | Dentist | 140 W 69th St Ph 1g, New York, NY 10023-5173 | 2020-08-07 |
| 1467092965 | Nyc Implant and Oral Surgery PC | Dentist | 30 E 60th St Ste 907, New York, NY 10022-1058 | 2020-01-13 |
| 1235777566 | Asnis Dental Pllc | Dentist | 800 Woodbury Rd Ste C, Woodbury, NY 11797-2503 | 2019-12-17 |
| 1700420429 | Chavkin Oral and Maxillofacial Surgery LLC | Dentist | 414 Jericho Tpke Ste 2, New Hyde Park, NY 11040-4510 | 2019-11-06 |
| 1730737545 | Southwoods Boulevard Dental, P.C. | Dentist | 7 Southwoods Blvd Ste 1, Albany, NY 12211-2526 | 2019-08-27 |
| 1750947792 | Eduard Munarov Dds PC | Dentist | 449 N State Rd Ste 102, Briarcliff Manor, NY 10510-1478 | 2019-05-15 |
| 1598227530 | Asnis Dental Pllc | Dentist | 250 Patchogue Yaphank Rd Ste 10, East Patchogue, NY 11772-4862 | 2019-04-01 |
| 1720545387 | Asnis Dental, Pllc | Dentist | 260 Middle Country Rd Ste 12, Selden, NY 11784-2570 | 2019-03-01 |
| 1205344819 | Ray Cheng Dds | Dentist | 217 Park Row Ste 4b, New York, NY 10038-1101 | 2018-01-17 |
| 1871006064 | Ny Oral and Maxillofacial Surgeon, PC | Dentist | 2844 Ocean Pkwy Ste B2, Brooklyn, NY 11235-7904 | 2017-11-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. ANTHONY TREVOR 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.