RANDI GREEN D.M.D., LLC
NPI 1942592977
Dentist - General Practice in Springfield, MO

Q: What is Randi Green D.M.D., LLC's NPI number?

The NPI number for Randi Green D.M.D., LLC is 1942592977. It was assigned to this organization in the NPPES registry on May 10, 2011.

Q: What is Randi Green D.M.D., LLC's specialty?

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

Active since May 10, 2011

2053 S WAVERLY AVE STE E, SPRINGFIELD, MO 65804(417) 887-5155(417) 823-7497 Get Directions Write a Review

NPPES record last updated: May 10, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Randi Green D.m.d., Llc NPPES

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

RANDI GREEN D.M.D., LLC (NPI 1942592977) is a healthcare organization registered as a general practice in Springfield, Missouri and active in the NPI registry since May 2011. The organization lists Randi C. Green, Owner/ Dentist, as its authorized official.

NPPES Registry Identity

NPI1942592977

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameRANDI GREEN D.M.D., LLC

Location Address2053 S WAVERLY AVE STE ESpringfield, MO 65804-2497

Mailing Address2053 S Waverly Ave Ste ESpringfield, MO 65804-2497 · (417) 887-5155 · Fax (417) 823-7497

Phone(417) 887-5155

Fax(417) 823-7497

Organization SubpartNo

Authorized OfficialRandi C. GreenOwner/ Dentist · (417) 887-5155

Enumeration DateMay 10, 2011

✔ NPI 1942592977 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 · 2011012315

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.

2053 S WAVERLY AVE STE E, Springfield, MO 65804

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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 Randi Green D.M.D., LLC's NPI number?

The NPI number for Randi Green D.M.D., LLC is 1942592977. It was assigned to this organization in the NPPES registry on May 10, 2011.

Where is Randi Green D.M.D., LLC located?

Randi Green D.M.D., LLC is located at 2053 S Waverly Ave Ste E, Springfield, MO 65804. The listed phone number is (417) 887-5155.

What is Randi Green D.M.D., LLC'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 Randi Green D.M.D., LLC was last updated on May 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.