# DRS GREEN & HENDERSON INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013859909
- **Authorized official:** LESLEY COYNER (ACCTS RECEIVABLE DIRECTOR)
- **Authorized official phone:** (304) 552-7688

## Contact information

- **Practice address:** 1603 FRANKLIN RD SW, ROANOKE, VA 24016-5208
- **Practice address phone:** (540) 283-4940
- **Practice address fax:** (540) 283-4941
- **Mailing address:** 103 STATION PLACE WAY, HURRICANE, WV 25526-8747
- **Mailing address phone:** (304) 720-7819

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 04/08/2026
- **Last updated:** 06/29/2026