Stephen I Green DDS PA

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

4562 Issued in MD

Legal business name

STEPHEN I GREEN DDS PA

Practice address

7501 Greenway Center Drive
#268
Greenbelt, MD 20770

Phone

(301) 345-1222

Fax

(301) 345-8945

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Stephen I Green, DDS

Title

Pres

Phone

(301) 345-1222

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922110444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 GREENWAY CENTER DRIVE",
            "address_2": "#268",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "20770",
            "telephone_number": "301-345-1222",
            "fax_number": "301-345-8945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 GREENWAY CENTER DRIVE",
            "address_2": "#268",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "20770",
            "telephone_number": "301-345-1222",
            "fax_number": "301-345-8945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN I GREEN DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "301-345-1222",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "MD",
            "license": "4562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Star Care LLC (As)
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• Dionna Casey Steeple, LCPC, NCC
• B'Nai T Stemley, PHARM.D, MHA
• Peter Stengel
• Susan Stern, MS, CCC-SLP
• Chartre Steward
• Ashley K Stith
• Chelsie Stoner, BCBA
• Brittany Stowe

• Periodontics in Greenbelt, MD
• Providers in Greenbelt, MD by specialty
• Periodontics in Maryland

• 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.