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Dr. Roosevely T Green JR., DDS
General Practice Dentistry in Portsmouth, Virginia
NPI 1184790826

Roosevely T Green JR. is a General Practice Dentistry based in Portsmouth, VA and is specialized in General Practice. Roosevely T Green JR. practices in Portsmouth, VA and has the professional credentials of DDS. The NPI Number for Roosevely T Green JR. is 1184790826 and holds a License No. 6417VA (Virginia).

The current practice location address for Roosevely T Green JR. is 600 S Green St, Portsmouth, VA and can be reached out via phone at 757-399-3752 and via fax at 757-399-2854.

Location: 600 S Green St, Portsmouth, VA, 23704
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Provider Profile Details
NPI Number
1184790826
Provider Name
Roosevely T Green JR.
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
600 S Green St, Portsmouth, VA, 23704
Phone Number
757-399-3752
Fax Number
757-399-2854
Provider Enumeration Date
11/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7821701 05 VI
138479 01 CIGNA
73 01 DOMINION
institution
Provider Business Practice Location Address Details
Address
600 S Green St
City
State
Zip
23704
Phone Number
757-399-3752
Fax Number
757-399-2854
person
Provider Business Mailing Address Details
Address
600 S Green St
City
State
Zip
23704
Phone Number
757-399-3752
Fax Number
757-399-2854
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
6417VA (Virginia)
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.
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