Individual provider · Type 1 NPI
Matthew Green, DDS
Dental Anesthesiology · Greenwich, CT
Practice location
57 Richland Rd
Greenwich, CT 06830-6012
Mailing address
1628 Stewart Ln
Syosset, NY 11791-9640
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Anesthesiology Primary | 1223D0004X | 061893 (NY) |
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.
About NPI 1750934030
Matthew Green, DDS's National Provider Identifier is 1750934030, issued on Jul 16, 2019. The primary taxonomy on file is Dental Anesthesiology (1223D0004X), and the practice location is in Greenwich, CT. The record was last updated on Dec 16, 2024.