Active NPI
Margaret S Greene, DDS
- Dentist
- Woodbridge, CT
National Provider Identifier
1639691462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14095
- Practice address
- 3 Research Dr
Woodbridge, CT 06525-2348 - Phone
- (203) 409-2535
- NPI assigned
- Jul 13, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 16393 | MD | |
| Dentist | 122300000X | 11775 | NC | |
| Dentist | 122300000X | 14095 | CT | Primary |
Addresses
Primary practice location
3 Research Dr
Woodbridge, CT 06525-2348
Mailing address
3 Research Dr
Woodbridge, CT 06525-2348
Phone (203) 409-2535
Other practice location 1
USA Dental Health Activity Fort Bragg
WAMC Box #151 2817 Rielly Rd
Fort Bragg, NC 28310
Phone (910) 396-2607
Other practice location 2
2441 21st St
Fort Campbell, KY 42223-5582
Phone (270) 798-8751
Other names 1
- Margaret Madison Spach
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14095 | CT | MD | Dentist |
| 16393 | MD | MD | Dentist |
| 11775 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718928000000",
"number": "1639691462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 RESEARCH DR",
"city": "WOODBRIDGE",
"state": "CT",
"postal_code": "065252348",
"telephone_number": "203-409-2535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 RESEARCH DR",
"city": "WOODBRIDGE",
"state": "CT",
"postal_code": "065252348",
"telephone_number": "203-409-2535"
}
],
"practiceLocations": [
{
"address_1": "USA Dental Health Activity Fort Bragg",
"address_2": "WAMC Box #151 2817 Rielly Rd",
"address_purpose": "LOCATION",
"city": "Fort Bragg",
"state": "NC",
"postal_code": "28310",
"country_code": "US",
"telephone_number": "910-396-2607",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2441 21st St",
"address_purpose": "LOCATION",
"city": "Fort Campbell",
"state": "KY",
"postal_code": "422235582",
"country_code": "US",
"telephone_number": "270-798-8751",
"fax_number": "270-956-0266",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREENE",
"first_name": "MARGARET",
"middle_name": "S",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-13",
"last_updated": "2024-06-21",
"certification_date": "2024-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "16393",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "11775",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "14095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARGARET",
"last_name": "SPACH",
"middle_name": "MADISON",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Woodbridge, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.