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BRAD H. GREEN D.D.S., P.A.
NPI 1205175676
Dentist in Fayetteville, AR

Active since February 05, 2013
2421 N CENTER ST, SUITE D, FAYETTEVILLE, AR 72701(479) 445-6919(479) 445-6929 Get Directions Write a Review

NPPES record last updated: February 5, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brad H. Green D.d.s., P.a. NPPES

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

BRAD H. GREEN D.D.S., P.A. (NPI 1205175676) is a healthcare organization registered as a dentist in Fayetteville, Arkansas and active in the NPI registry since February 2013. The organization lists Brad Green, Owner, as its authorized official.

NPPES Registry Identity

NPI1205175676
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameBRAD H. GREEN D.D.S., P.A.
Location Address2421 N CENTER ST, SUITE DFayetteville, AR 72701-9455
Mailing Address101 S Pittman StPrairie Grove, AR 72753-3247 · (479) 846-1005 · Fax (479) 846-1014
Phone(479) 445-6919
Fax(479) 445-6929
Organization SubpartNo
Authorized OfficialBrad GreenOwner · (479) 445-7281
Enumeration DateFebruary 5, 2013
✔ NPI 1205175676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in AR · 3578
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2421 N CENTER ST, Fayetteville, AR 72701
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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 Brad H. Green D.D.S., P.A.'s NPI number?

The NPI number for Brad H. Green D.D.S., P.A. is 1205175676. It was assigned to this organization in the NPPES registry on February 5, 2013.

Where is Brad H. Green D.D.S., P.A. located?

Brad H. Green D.D.S., P.A. is located at 2421 N Center St Suite D, Fayetteville, AR 72701. The listed phone number is (479) 445-6919.

What is Brad H. Green D.D.S., P.A.'s specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Brad H. Green D.D.S., P.A. accept?

Health plans from UnitedHealthcare list Brad H. Green D.D.S., P.A. 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 Brad H. Green D.D.S., P.A. was last updated on February 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.