DR. Larry Russel Green, DDS is a general practice dentist in Brooklyn, NY. The provider is 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. DR. Larry Russel Green, DDS NPI is 1245325190. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
150 55TH ST
DENTAL DEPT.
BROOKLYN, NY
ZIP 11220-508
Phone: (718) 630-8088
Fax: (718) 630-6815
The NPI 1245325190 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 10/4/2006 and was last updated on 1/15/2013.