DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. NATHAN MICHAEL GREEN, D.D.S.

Active

DR. NATHAN MICHAEL GREEN, D.D.S. is a Pediatric Dentistry healthcare provider located in JOHNSTOWN, Colorado. NPI 1932433927 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · JOHNSTOWN, CO

Registration Details

NPI Number
1932433927
Provider Type
Individual
Gender
Male
NPI Issued
Sep 24, 2009 (16.920267043012 yrs)
Last Updated
Feb 21, 2024
Licenses
6770 (NE)
DEN.00201823 (CO)
00201823 (CO)

Practice Information

Address
257 JOHNSTOWN CENTER DR UNIT 107
JOHNSTOWN, CO, 805347847
Browse CO providers · Browse ZIP 80534
Phone
9706995699
Primary Specialty
Pediatric Dentistry
1223P0221X
Additional Specialty
Pediatric Dentistry
Additional Specialty
Pediatric Dentistry
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.