Individual provider · Type 1 NPI

Gary Joel Green, DDS

General Practice Dentistry · St. Louis, MO

NPI number 1376765222 Active

Practice location

4646 Lindell Blvd
St. Louis, MO 63108-3702

Call (314) 361-1818 Map

Fax (314) 361-6585

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X013434 (MO)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

3 other providers at this address

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About NPI 1376765222

Gary Joel Green, DDS's National Provider Identifier is 1376765222, issued on May 2, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in St. Louis, MO. The record was last updated on Jul 8, 2007.