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G.GARY GREEN DMD, PA INC
NPI 1912427295
Clinic/Center - Dental in Caldwell, NJ

Active since June 27, 2017
277 BLOOMFIELD AVE, CALDWELL, NJ 07006(973) 228-0252(973) 228-0918 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jun 27, 2017 (3 updates tracked since 2017).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Secondary Locations
  4. Authorized Official
  5. Other Providers Same Location
  6. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Dental

About G.GARY GREEN DMD, PA INC

This page provides the complete NPI Profile along with additional information for G.gary Green Dmd, Pa Inc, a provider established in Caldwell, New Jersey operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1912427295 assigned on June 2017. The practitioner's primary taxonomy code is 261QD0000X with license number 12168 (NJ). The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Dr. Gail Gary Green Jr. Dmd (Peresident/owner)

NPI
1912427295 Verify this NPI
Provider Name
G.GARY GREEN DMD, PA INC
Entity Type
Organization
Location Address
277 BLOOMFIELD AVE CALDWELL, NJ 07006
Location Phone
(973) 228-0252
Location Fax
(973) 228-0918
Mailing Address
277 BLOOMFIELD AVE CALDWELL, NJ 07006
Mailing Phone
(973) 228-0252
Mailing Fax
(973) 228-0918
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-27-2017
Last Update Date
07-21-2022
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Location Map

Secondary Locations

  • 66 Galloway Rd
    Warwick, NY 10990
    (845) 986-8846

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities
License No.
12168
License State
NJ

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. GAIL GARY GREEN JR. DMD

Authorized Official Title
PERESIDENT/OWNER
Authorized Official Phone
(973) 228-0252

Reviews for G.GARY GREEN DMD, PA INC

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

GAIL GARY GREEN JR. DMD
Dentist (Prosthodontics)
277 BLOOMFIELD AVE
CALDWELL, NJ 07006
Essex County (973) 228-0252

Frequently Asked Questions

What is G.GARY GREEN DMD, PA INC's NPI number?

The NPI number assigned to this healthcare provider is 1912427295, enumerated as an "organization" on June 27, 2017.

Where is the provider located?

The provider is located at 277 BLOOMFIELD AVE CALDWELL, NJ 07006 and the phone number is (973) 228-0252.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.