Jay C Green, D.D.S. P.a.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

4099 Issued in FL

Legal business name

JAY C GREEN, D.D.S. P.A.

Practice address

7500 N.W. 5 Street
Suite 110
Plantation, FL 33317-1612

Phone

(954) 581-9550

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jay C Green, D.D.S.NPI 1952559379

Title

President

Phone

(954) 581-9550

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jay Green, DDS

  • Endodontics
  • Plantation, FL
  • NPI 1952559379
  NPD (past) Authorized official

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811027378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 N.W. 5 STREET",
            "address_2": "SUITE 110",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171612",
            "telephone_number": "954-581-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 N.W. 5 STREET",
            "address_2": "SUITE 110",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171612",
            "telephone_number": "954-581-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY C GREEN, D.D.S. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-581-9550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "4099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monique Lee Jaquith, PA-C
• Aliah Jaramillo
• Tiffany Nicole Jaramillo
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• Kenneth Jarolem, MD
• JC Women'S Care Inc
• Jcarriazo MD P.L.L.C.
• Ginette Jean Baptiste, RRT
• Phedia Jean Baptiste, LPN
• Marie Eronne Jean Charles, ARNP

• Endodontics in Plantation, FL
• Providers in Plantation, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.