MICHAEL BRANDON GREEN D.D.S.
NPI 1861606584
Dentist - General Practice in West Jordan, UT

Active since May 10, 2007
9217 REDWOOD RD, SUITE B, WEST JORDAN, UT 84088(801) 566-1873(801) 307-0215 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Michael Brandon Green D.d.s. NPPES

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

MICHAEL BRANDON GREEN D.D.S. (NPI 1861606584) is an individual general practice provider in West Jordan, Utah, licensed in Utah (6229925) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1861606584
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMICHAEL BRANDON GREENCredential: D.D.S.
Location Address9217 REDWOOD RD, SUITE BWest Jordan, UT 84088-5826
Mailing Address9217 Redwood Rd, Suite BWest Jordan, UT 84088-5826 · (801) 566-1873 · Fax (801) 307-0215
Fax(801) 307-0215
Sole ProprietorNo
Enumeration DateMay 10, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1861606584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in UT · 6229925
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.

9217 REDWOOD RD, West Jordan, UT 84088

Other Identifiers 1

Medicaid528373269007UT

Accepted Insurance

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861606584, enumerated as an "individual" on May 10, 2007.

The provider is located at 9217 REDWOOD RD SUITE B WEST JORDAN, UT 84088 and the phone number is (801) 566-1873.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BEST Life, Blue. Please consult your insurance carrier or call the provider to verify.