Green Oral Surgery PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

32346 Issued in TX

Legal business name

GREEN ORAL SURGERY PLLC

Practice address

715 W Bailey Boswell Rd
Saginaw, TX 76179

Phone

(817) 237-7557

NPI assigned

Jun 7, 2017

Last updated

Feb 28, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Glenn Terrell Green, DMDNPI 1801159322

Title

Owner

Phone

(208) 406-1777

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Glenn Green, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Saginaw, TX
  • NPI 1801159322
  Authorized official Same address or phone
• Fred A Loe, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • North Richland Hills, TX
  • NPI 1639226319
  NPD (past)

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1356870950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 W BAILEY BOSWELL RD",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761791279",
            "telephone_number": "817-237-7557",
            "fax_number": "817-237-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 W BAILEY BOSWELL RD",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "76179",
            "telephone_number": "817-237-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN ORAL SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-07",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "TERRELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-406-1777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "32346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Gillespie
• Gilmore Orthodontics PLLC (Studio Orthodontics)
• Berkley Drew Ginithan, FNP-C
• Mark Alan Godfrey, MD
• Clarissa Aurora Golden, LAT
• Glenn Green, DMD
• Grill Repair, P.a. (Saginaw Orthodontics)
• Alyssa Kristen Hall, PHARMD
• Nazia H Haque, DDS
• Elisabeth C. Hari, FNP-BC

• Oral and Maxillofacial Surgery (Dentist) in Saginaw, TX
• Providers in Saginaw, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.