Dory Green, DMD, FAGD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN19577 Issued in FL

Practice address

646 N Federal Hwy
Fort Lauderdale, FL 33304-4686

Phone

(954) 524-2300

Fax

(954) 342-6404

NPI assigned

Apr 13, 2011

Last updated

Mar 31, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dory Green DMD PA

  dba DG Dental

  • Dental Clinic/Center
  • Fort Lauderdale, FL
  • NPI 1164241402
  NPD Authorized official

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1538459409",
    "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": "4100 Davie Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333143655",
            "country_code": "US",
            "telephone_number": "954-682-8000",
            "fax_number": "954-320-6287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "DORY",
        "name_prefix": "Dr.",
        "credential": "DMD, FAGD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-13",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02465100",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN19577",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS038387",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008275900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greater Florida Anesthesiologists, LLC
• Greater Florida Anesthesiologists, LLC
• Greater Ft Lauderdale Heart Group
• Anthony Green
• Debra Lynn Green, ARNP
• Fiona Yvonne Green, LMT
• Jason Green, DO
• Kerry Lynn Green
• Railton Green, M.D.
• Shelley K Green, PH.D., LMFT

• General Practice Dentistry in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• General Practice Dentistry in Florida

• 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.