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Dr. Philip P Green, DMD
Oral and Maxillofacial Surgery (Dentist) in Beaverton, Oregon
NPI 1518007582

Philip P Green is a Oral and Maxillofacial Surgery (Dentist) based in Beaverton, OR and is specialized in Oral and Maxillofacial Surgery. Philip P Green practices in Beaverton, OR and has the professional credentials of DMD. The NPI Number for Philip P Green is 1518007582 and holds a License No. D5048 (Oregon).

The current practice location address for Philip P Green is 3925 Sw 153Rd Dr, Beaverton, OR and can be reached out via phone at 503-646-7101 and via fax at 503-646-7105.

Location: 3925 Sw 153Rd Dr, Beaverton, OR, 97006-4166
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518007582
Provider Name
Philip P Green
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
3925 Sw 153Rd Dr, Beaverton, OR, 97006-4166
Phone Number
503-646-7101
Fax Number
503-646-7105
Provider Enumeration Date
02/07/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3925 Sw 153Rd Dr
City
Beaverton
State
Oregon
Zip
97006-4166
Phone Number
503-646-7101
Fax Number
503-646-7105
person
Provider Business Mailing Address Details
Address
3925 Sw 153Rd Dr
City
Beaverton
State
Oregon
Zip
97006-4166
Phone Number
503-646-7101
Fax Number
503-646-7105
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
D5048 (Oregon)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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