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BRAD H GREEN DDS PA
NPI 1457548935
Dentist - General Practice in Prairie Grove, AR

Active since September 28, 2007
401 E BUCHANAN, PRAIRIE GROVE, AR 72753(479) 846-1005 Get Directions Write a Review

NPPES record last updated: May 2, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brad H Green Dds Pa NPPES

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

BRAD H GREEN DDS PA (NPI 1457548935) is a healthcare organization registered as a general practice in Prairie Grove, Arkansas and active in the NPI registry since September 2007. The organization lists Brad Green, President, as its authorized official.

NPPES Registry Identity

NPI1457548935
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBRAD H GREEN DDS PA
Location Address401 E BUCHANANPrairie Grove, AR 72753
Mailing Address101 S Pittman St, Po Box 288Prairie Grove, AR 72753-3247 · (479) 846-1005
Phone(479) 846-1005
Organization SubpartNo
Authorized OfficialBrad GreenPresident · (479) 846-1005
Enumeration DateSeptember 28, 2007
Last NPPES UpdateMay 2, 2008
✔ NPI 1457548935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AR · 3578
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.
401 E BUCHANAN, Prairie Grove, AR 72753
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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

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 Dds PA's NPI number?

The NPI number for Brad H Green Dds PA is 1457548935. It was assigned to this organization in the NPPES registry on September 28, 2007.

Where is Brad H Green Dds PA located?

Brad H Green Dds PA is located at 401 E Buchanan, Prairie Grove, AR 72753. The listed phone number is (479) 846-1005.

What is Brad H Green Dds PA'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 Brad H Green Dds PA was last updated on May 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.