Individual provider · Type 1 NPI

Nicole Renee Green, DDS

General Practice Dentistry · Lakeville, MN

NPI number 1669581278 Active

Practice location

10450 185th St W, Suite 500
Lakeville, MN 55044-6686

Fax (952) 435-9820

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X011063 (MN)

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.

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About NPI 1669581278

Nicole Renee Green, DDS's National Provider Identifier is 1669581278, issued on Aug 29, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Lakeville, MN. The record was last updated on Feb 27, 2015.