Brian C Green, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3434 Issued in ME

Practice address

269 US Route One
Cumberland Foreside, ME 04110

Phone

(207) 829-4444

NPI assigned

Jun 27, 2007

Sex

Male

Sole proprietor

Yes

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

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.

• Royal River Dental LLC

  • General Practice Dentistry
  • Cumberland Foreside, ME
  • NPI 1699134585
  NPD (past) Authorized official

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679770408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 US ROUTE ONE",
            "city": "CUMBERLAND FORESIDE",
            "state": "ME",
            "postal_code": "04110",
            "telephone_number": "207-829-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 US ROUTE ONE",
            "city": "CUMBERLAND FORESIDE",
            "state": "ME",
            "postal_code": "04110",
            "telephone_number": "207-829-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "BRIAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "3434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casco Bay Chiropractic, PA.
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• Deeper Well, LLC
• DPD Nutrition Consultants, Inc
• Richard Saul Grossman, M.D.
• Rasha Hanafy, DO
• Heidi Anne Heap-Chester, MD
• Heidi a Heap-Chester MD LLC
• Lifetimesmiles LLC

• General Practice Dentistry in Cumberland Foreside, ME
• Providers in Cumberland Foreside, ME by specialty
• General Practice Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.