# DR. RYAN JOSEPH GREENE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1629206461
- **Gender:** Man
- **Credential:** D.D.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 12012592 | IN | Yes |
| 1223E0200X | Endodontics | 3855 | WV | — |
| 1223E0200X | Endodontics | 7140 | SC | — |
| 1223E0200X | Endodontics | DS038280 | PA | — |

## Other

- **Enumeration date:** 07/01/2009
- **Last updated:** 02/20/2018
