Glenn Green, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

32346 Issued in TX

Practice address

715 W Bailey Boswell Rd
Saginaw, TX 76179-1279

Phone

(817) 237-7100

NPI assigned

Jun 19, 2012

Last updated

Jan 31, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Green Oral Surgery PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Saginaw, TX
  • NPI 1356870950
  Authorized official Same address or phone
• Dr. Fred a. Loe D.D.S., P.a.

  dba North Tarrant OMFS

  • Oral and Maxillofacial Surgery (Dentist)
  • Saginaw, TX
  • NPI 1871646158
  NPD (past)

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1801159322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 W BAILEY BOSWELL RD",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761791279",
            "telephone_number": "817-237-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 W BAILEY BOSWELL RD",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761791279",
            "telephone_number": "817-237-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-19",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "62867",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "32346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gilmore Orthodontics PLLC (Studio Orthodontics)
• Berkley Drew Ginithan, FNP-C
• Mark Alan Godfrey, MD
• Clarissa Aurora Golden, LAT
• Green Oral Surgery PLLC
• Grill Repair, P.a. (Saginaw Orthodontics)
• Alyssa Kristen Hall, PHARMD
• Nazia H Haque, DDS
• Elisabeth C. Hari, FNP-BC
• Ja Mai Harris Edwards, LPC

• Oral and Maxillofacial Surgery (Dentist) in Saginaw, TX
• Providers in Saginaw, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.