Organization Active NPI

Holly Green, PA

  • General Practice Dentistry
  • Annapolis, MD
National Provider Identifier
1902738040
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HOLLY GREEN, PA
Practice address
600 Ridgely Ave Ste 225
Annapolis, MD 21401-1089
Phone
(410) 224-9608
Fax
(410) 224-9650
NPI assigned
Jun 2, 2026
Last updated
Jun 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Authorized official

Name
Dr. Holly Green, DMDNPI 1578575189
Title
Owner/Dentist
Phone
(410) 224-9608

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

600 Ridgely Ave Ste 225
Annapolis, MD 21401-1089

Mailing address

600 Ridgely Ave Ste 225
Annapolis, MD 21401-1089
Phone (410) 224-9608

National Provider Directory

National Provider Directory

Locations

600 Ridgely Ave
Ste 225
Annapolis, MD 21401
Phone (410) 224-9608

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1780358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1902738040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 RIDGELY AVE STE 225",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011089",
            "telephone_number": "410-224-9608",
            "fax_number": "410-224-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 RIDGELY AVE STE 225",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011089",
            "telephone_number": "410-224-9608",
            "fax_number": "410-224-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY GREEN, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-02",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "410-224-9608",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.