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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

HOLLY GREEN, PA
NPI 1902738040
Dentist - General Practice in Annapolis, MD

Active since June 02, 2026
600 RIDGELY AVE STE 225, ANNAPOLIS, MD 21401(410) 224-9608(410) 224-9650 Get Directions Write a Review

NPPES record added: June 2, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Holly Green, Pa NPPES

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

HOLLY GREEN, PA (NPI 1902738040) is a healthcare organization registered as a general practice in Annapolis, Maryland and active in the NPI registry since June 2026. The organization lists Holly Green, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1902738040
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameHOLLY GREEN, PA
Location Address600 RIDGELY AVE STE 225Annapolis, MD 21401-1089
Mailing Address600 Ridgely Ave Ste 225Annapolis, MD 21401-1089 · (410) 224-9608 · Fax (410) 224-9650
Phone(410) 224-9608
Fax(410) 224-9650
Organization SubpartNo
Authorized OfficialHolly GreenOwner/dentist · (410) 224-9608
Enumeration DateJune 2, 2026
NPPES CertifiedJune 2, 2026
✔ NPI 1902738040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
600 RIDGELY AVE STE 225, Annapolis, MD 21401
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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

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. JAMES BANTZ WOODDELL JR. DDS
Dentist (General Practice)
600 RIDGELY AVE STE 225
ANNAPOLIS, MD 21401
Anne Arundel County (410) 224-9608

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 Holly Green, PA's NPI number?

The NPI number for Holly Green, PA is 1902738040. It was assigned to this organization in the NPPES registry on June 2, 2026.

Where is Holly Green, PA located?

Holly Green, PA is located at 600 Ridgely Ave Ste 225, Annapolis, MD 21401. The listed phone number is (410) 224-9608.

What is Holly Green, 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 Holly Green, PA was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.