Shannon Green, DDS is a student in an organized health care education training program in Buffalo, NY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Shannon Green, DDS NPI is 1811550999. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
112 SQUIRE HALL
BUFFALO, NY
ZIP 14214-006
Phone: (716) 829-6230
Fax: (716) 829-6230
The NPI 1811550999 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 4/15/2019 and was last updated on 4/15/2019.