Greene Dental Group, LLC
NPI #1497952923 in Norwich, Connecticut
Provider Information
- NPI Number
- 1497952923
- Entity Type
- Organization
- Organization Name
- Greene Dental Group, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 28, 2007
- Last Updated
- Jun 20, 2014
Practice Location
- Address
- 65 SACHEM ST
- City
- Norwich
- State
- Connecticut
- ZIP Code
- 06360-4201
- Phone
- (860) 889-8427
Authorized Official
- Name
- DR. JONATHAN EDWARD GREENE, DDS
- Title
- PRESIDENT
- Phone
- (860) 889-8427
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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