Individual provider · Type 1 NPI

Javier Raul Simpson Green I, DDS

Student in an Organized Health Care Education/Training Program · Union City, CA

NPI number 1366368904 Active

Practice location

1203 J St
Union City, CA 94587-3331

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1366368904

Javier Raul Simpson Green I, DDS's National Provider Identifier is 1366368904, issued on Jun 27, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Union City, CA. The record was last updated on Jun 27, 2026.