William Allen Green, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

0160064702 Issued in VT

Practice address

44 Main St
Richford Dental Clinic
Richford, VT 05476-1153

Phone

(802) 255-5563

Fax

(802) 255-5569

NPI assigned

Jul 25, 2006

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

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275004800000",
    "number": "1700809654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 MAQUAM SHORE RD",
            "city": "SWANTON",
            "state": "VT",
            "postal_code": "054888416",
            "telephone_number": "802-524-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 MAIN ST",
            "address_2": "RICHFORD DENTAL CLINIC",
            "city": "RICHFORD",
            "state": "VT",
            "postal_code": "054761153",
            "telephone_number": "802-255-5563",
            "fax_number": "802-255-5569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "WILLIAM",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2010-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VT",
            "license": "0160064702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan A Bouchard, D.D.S.
• Nathaniel Burns, PA-C
• Abigail Anne Debay, PA
• Murray Diner
• Ioannis Yannis Felemegos, M.D.
• Emily Jean Grims
• Edward A Haak, DO
• David Francis Jette, DDS
• Erin Lashway
• Erick JP Lavallee, MD

• All providers in Richford, VT
• Dentist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; 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.