DR. STACEY ANDREW GREENE DDS NPI 1609995786

NPI Information

NPI: 1609995786
Provider Name: DR. STACEY ANDREW GREENE, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
709 E MARKET ST
SUITE 204
GREENSBORO, NC
ZIP 27401
Phone: (336) 691-8084
Get Directions

DR. Stacey Andrew Greene, DDS is a general practice dentist in Greensboro, NC. 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. Stacey Andrew Greene, DDS NPI is 1609995786. 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:

709 E MARKET ST
SUITE 204
GREENSBORO, NC
ZIP 27401-265
Phone: (336) 691-8084
Fax: (336) 691-9285

The enumeration date for this NPI number is 3/28/2007 and was last updated on 11/27/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	6139	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	93378	OTHER	NORTH CAROLINA	BLUE CROSS
2	U38852	MEDICARE UPIN	NORTH CAROLINA
3	216285	OTHER	NORTH CAROLINA	CIGNA
4	141840759	OTHER	NORTH CAROLINA	TAX ID
5	970026	OTHER	NORTH CAROLINA	UNITED CONCORDIA
6	8993378	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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