# GREEN MEADOWS FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1134811870
- **Authorized official:** DONNA RENEE JOHNSON (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (757) 357-4121

## Contact information

- **Practice address:** 4676 PRINCESS ANNE RD STE 100, VIRGINIA BEACH, VA 23462-6465
- **Practice address phone:** (757) 495-5010
- **Mailing address:** 4676 PRINCESS ANNE RD STE 100, VIRGINIA BEACH, VA 23462-6465
- **Mailing address phone:** (757) 495-5010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/22/2023
- **Last updated:** 05/22/2023