DR. ROOSEVELY T GREEN JR. DDS
NPI 1184790826
Dentist - General Practice in Portsmouth, VA

Q: What is Roosevely Green's NPI number?

The NPI number for Roosevely Green is 1184790826. It was assigned to this individual provider in the NPPES registry on November 27, 2006.

Q: What is Roosevely Green's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Roosevely Green was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 27, 2006

600 S GREEN ST, PORTSMOUTH, VA 23704(757) 399-3752(757) 399-2854 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Roosevely T Green Jr. Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROOSEVELY T GREEN JR. DDS (NPI 1184790826) is an individual general practice provider in Portsmouth, Virginia, licensed in Virginia (6417VA) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1184790826

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. ROOSEVELY T GREEN JR.Credential: DDS

Location Address600 S GREEN STPortsmouth, VA 23704

Mailing Address600 S Green StPortsmouth, VA 23704 · (757) 399-3752 · Fax (757) 399-2854

Phone(757) 399-3752

Fax(757) 399-2854

Sole ProprietorNo

Enumeration DateNovember 27, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1184790826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in VA · 6417VA

Definition

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.

600 S GREEN ST, Portsmouth, VA 23704

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Other Identifiers 3

Medicaid7821701VI

Other138479Cigna

Other73Dominion

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roosevely Green's NPI number?

The NPI number for Roosevely Green is 1184790826. It was assigned to this individual provider in the NPPES registry on November 27, 2006.

Where is Roosevely Green located?

Roosevely Green practices at 600 S Green St, Portsmouth, VA 23704. The listed phone number is (757) 399-3752.

What is Roosevely Green's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Roosevely Green accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Roosevely Green as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Roosevely Green was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.