Organization · Type 2 NPI

Green States Anesthesia PLLC

Dental Anesthesiology · Upper Marlboro, MD

NPI number 1699252544 Active

Practice location

1220 Caraway Ct Ste 1050
Upper Marlboro, MD 20774-5338

Fax (800) 783-8584

Mailing address

3343 E Indigo Bay Ct
Gilbert, AZ 85234-1737

Other practice locations

  • 3343 E Indigo Bay Ct, Gilbert, AZ 85234-1737 · (702) 581-2819

Specialties and licenses

TaxonomyCodeLicense
Dental Anesthesiology Primary 1223D0004XNone listed

Dental Anesthesiology: A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.

9 other providers at this address

About NPI 1699252544

Green States Anesthesia PLLC's National Provider Identifier is 1699252544, issued on Jul 24, 2018. The primary taxonomy on file is Dental Anesthesiology (1223D0004X), and the practice location is in Upper Marlboro, MD. The record was last updated on Nov 21, 2022.