Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEVAN S GREEN, DMD
Active Sole ProprietorDR. KEVAN S GREEN, DMD is a Periodontology healthcare provider located in CLIFTON HEIGHTS, Pennsylvania. NPI 1518008093 is currently active in the NPPES registry. Verify at CMS.
Periodontology · CLIFTON HEIGHTS, PA
Registration Details
- NPI Number
- 1518008093
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 9, 2007 (19.550205560831 yrs)
- Last Updated
- May 12, 2008
- Licenses
-
22DI01467000 (NJ)DS024064L (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
215 E BALTIMORE AVECLIFTON HEIGHTS, PA, 190181605Browse PA providers · Browse ZIP 19018
- Phone
- 6106234493
- Fax
- 6106230871
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.