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GREENE DENTAL MANAGEMENT, PLLC
NPI 1306663059
Dentist - Pediatric Dentistry in Daytona Beach, FL

Active since September 24, 2024
1021 S RIDGEWOOD AVE, DAYTONA BEACH, FL 32114(386) 304-2677 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2025, Sep 24, 2024 (2 updates tracked since 2024).

About Greene Dental Management, Pllc NPPES

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

GREENE DENTAL MANAGEMENT, PLLC (NPI 1306663059) is a healthcare organization registered as a pediatric dentistry in Daytona Beach, Florida and active in the NPI registry since September 2024. The organization lists Stephen Greene, Owner, as its authorized official.

NPPES Registry Identity

NPI1306663059
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameGREENE DENTAL MANAGEMENT, PLLC
Location Address1021 S RIDGEWOOD AVEDaytona Beach, FL 32114-6151
Mailing Address1021 S Ridgewood AveDaytona Beach, FL 32114-6151 · (386) 304-2677
Phone(386) 304-2677
Organization SubpartNo
Authorized OfficialStephen GreeneOwner · (850) 251-1643
Enumeration DateSeptember 24, 2024
Last NPPES UpdateMay 7, 20252 updates tracked since enumeration
NPPES CertifiedMay 7, 2025
✔ NPI 1306663059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
1021 S RIDGEWOOD AVE, Daytona Beach, FL 32114
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEPHEN LAMAR GREENE D.D.S
Dentist (Pediatric Dentistry)
1021 S RIDGEWOOD AVE
DAYTONA BEACH, FL 32114
Volusia County (386) 304-2677

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 Greene Dental Management, PLLC's NPI number?

The NPI number for Greene Dental Management, PLLC is 1306663059. It was assigned to this organization in the NPPES registry on September 24, 2024.

Where is Greene Dental Management, PLLC located?

Greene Dental Management, PLLC is located at 1021 S Ridgewood Ave, Daytona Beach, FL 32114. The listed phone number is (386) 304-2677.

What is Greene Dental Management, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Greene Dental Management, PLLC was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.