Holly Anne Green, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11463 Issued in MD

Practice address

600 Ridgely Ave
Ste 225
Annapolis, MD 21401-1089

Phone

(410) 224-9608

Fax

(410) 224-9650

NPI assigned

Aug 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Holly Green, PA

  • General Practice Dentistry
  • Annapolis, MD
  • NPI 1902738040
  NPD Authorized official

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1578575189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 RIDGELY AVE",
            "address_2": "STE 225",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011089",
            "telephone_number": "410-224-9608",
            "fax_number": "410-224-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 RIDGELY AVE",
            "address_2": "STE 225",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011089",
            "telephone_number": "410-224-9608",
            "fax_number": "410-224-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "HOLLY",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "11463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Grazioli, LMSW
• Greater Maryland Pain Management, LLC
• Elizabeth T. Greeley, M.D.
• Green Life Chiropractic & Wellness, LLC
• Brandt L Green, D.C.
• Jacob Daniel Green, D.C.
• Jeremy Green, MD
• Mary Elizabeth Green, RPH
• Michael Craig Green, CAC-AD
• Greenbelt DME LLC

• General Practice Dentistry in Annapolis, MD
• Providers in Annapolis, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.