OrganizationActive
Brad H. Green D.D.S., P.A.
NPI 1205175676 · Dentist · Fayetteville, AR
Brad H. Green D.D.S., P.A. is a Dentist organization in Fayetteville, AR (NPI 1205175676).
Provider details
- NPI number
- 1205175676
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Brad Green, Owner(479) 445-7281
- License
- 3578 (AR)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2421 N Center St
Suite D
Fayetteville, AR 72701-9455
Phone: (479) 445-6919
Fax: (479) 445-6929
Street-level locationGet directions
Mailing address
101 S Pittman St
Prairie Grove, AR 72753-3247
Registry dates
- Enumerated
- 2013-02-05
- Last updated
- 2013-02-05
Frequently asked questions
- What is Brad H. Green D.D.S., P.A.'s NPI number?
- Brad H. Green D.D.S., P.A.'s National Provider Identifier (NPI) is 1205175676, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Brad H. Green D.D.S., P.A.?
- Brad H. Green D.D.S., P.A. is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Brad H. Green D.D.S., P.A. located?
- Brad H. Green D.D.S., P.A.'s practice location on file with NPPES is 2421 N Center St, Fayetteville, AR 72701-9455.
- What is Brad H. Green D.D.S., P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Brad H. Green D.D.S., P.A. is (479) 445-6919.
- Who is the authorized official for Brad H. Green D.D.S., P.A.?
- The authorized official listed on Brad H. Green D.D.S., P.A.'s NPPES record is Brad Green, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Brad H. Green D.D.S., P.A.'s NPI active?
- Yes — Brad H. Green D.D.S., P.A.'s NPI (1205175676) is active in the NPPES registry as of the last update on 2013-02-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.