DR. GARY JOEL GREEN D.D.S.
NPI 1376765222
Dentist - General Practice in Saint Louis, MO

Active since May 02, 2007
4646 LINDELL BLVD, SAINT LOUIS, MO 63108(314) 361-1818(314) 361-6585 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gary Joel Green D.d.s. NPPES

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

DR. GARY JOEL GREEN D.D.S. (NPI 1376765222) is an individual general practice provider in Saint Louis, Missouri, licensed in Missouri (013434) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1376765222
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GARY JOEL GREENCredential: D.D.S.
Location Address4646 LINDELL BLVDSaint Louis, MO 63108-3702
Mailing Address4646 Lindell BlvdSaint Louis, MO 63108-3702 · (314) 361-1818 · Fax (314) 361-6585
Fax(314) 361-6585
Sole ProprietorNo
Enumeration DateMay 2, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1376765222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MO · 013434
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.
4646 LINDELL BLVD, Saint Louis, MO 63108

Other Providers at the Same Location NPPES 3

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

Dentist
4646 LINDELL BLVD
SAINT LOUIS, MO 63108
Dentist
4646 LINDELL BLVD
SAINT LOUIS, MO 63108
Dentist (General Practice)
4646 LINDELL BLVD
SAINT LOUIS, MO 63108

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 Gary Green's NPI number?

The NPI number for Gary Green is 1376765222. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Where is Gary Green located?

Gary Green practices at 4646 Lindell Blvd, Saint Louis, MO 63108. The listed phone number is (314) 361-1818.

What is Gary Green's specialty?

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

When was this NPI record last updated?

The NPPES record for Gary 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.