Organization Active NPI

Dory Green DMD PA

Doing business as DG Dental

  • Dental Clinic/Center
  • Fort Lauderdale, FL
National Provider Identifier
1164241402
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DORY GREEN DMD PA
Doing business as
DG Dental
Dory Green, DMD, FAGD
Practice address
646 N Federal Hwy
Fort Lauderdale, FL 33304-4686
Phone
(954) 524-2300
Fax
(954) 342-6404
NPI assigned
Oct 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Dory Green, DMD, FAGDNPI 1538459409
Title
Owner
Phone
(954) 232-3866

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

646 N Federal Hwy
Fort Lauderdale, FL 33304-4686

Mailing address

1313 S Andrews Ave
Fort Lauderdale, FL 33316-1837
Phone (954) 522-8554

Other practice location 1

1313 S Andrews Ave
Fort Lauderdale, FL 33316-1837
Phone (954) 232-3866

Other names 2

  • DG Dental Doing business as
  • Dory Green, DMD, FAGD Doing business as

National Provider Directory

National Provider Directory

Locations

1313 S Andrews Ave
Fort Lauderdale, FL 33316
Phone (954) 232-3866

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774915200000",
    "number": "1164241402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 S ANDREWS AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161837",
            "telephone_number": "954-522-8554",
            "fax_number": "954-522-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 N FEDERAL HWY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333044686",
            "telephone_number": "954-524-2300",
            "fax_number": "954-342-6404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1313 S Andrews Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333161837",
            "country_code": "US",
            "telephone_number": "954-232-3866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DORY GREEN DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-04",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "DORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-232-3866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, FAGD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DG Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dory Green, DMD, FAGD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.