IndividualActive
Matthew Green, DDS
NPI 1750934030 · Dental Anesthesiology · Greenwich, CT
Provider details
- NPI number
- 1750934030
- Entity type
- Individual
- Primary specialty
- Dental AnesthesiologyDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 061893 (NY)
Specialties & taxonomies
Dental Providers
Practice location
57 Richland Rd
Greenwich, CT 06830-6012
Phone: (866) 561-1233
Approximate (ZIP-level) locationGet directions
Mailing address
1628 Stewart Ln
Syosset, NY 11791-9640
Registry dates
- Enumerated
- 2019-07-16
- Last updated
- 2024-12-16
- Certified
- 2024-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.