# ANTHONY T.R. GREEN D.D.S.P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Anthony Green D.D.S.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235392283
- **Authorized official:** DR. ANTHONY T.R. GREEN D.D.S.O.M.F.S. (ORAL SURGEON/OWNER)
- **Authorized official phone:** (718) 739-1300

## Contact information

- **Practice address:** 17836 WEXFORD TER, SUITE 2E, JAMAICA, NY 11432-3024
- **Practice address phone:** (718) 739-1300
- **Practice address fax:** (718) 739-0966
- **Mailing address:** 17836 WEXFORD TER, SUITE 2E, JAMAICA, NY 11432-3024
- **Mailing address phone:** (718) 739-1300
- **Mailing address fax:** (718) 739-0966

## 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:** 07/09/2008
- **Last updated:** 07/09/2008