# JAMES R. GREEN D.D.S,PA

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

## Provider details

- **NPI number:** 1972911444
- **Authorized official:** JAMES R GREEN DDS (OWNER)
- **Authorized official phone:** (940) 322-2252

## Contact information

- **Practice address:** 2200 KELL BLVD, WICHITA FALLS, TX 76309-4401
- **Practice address phone:** (940) 322-2252
- **Practice address fax:** (940) 322-7090
- **Mailing address:** 2200 KELL BLVD, WICHITA FALLS, TX 76309-4401
- **Mailing address phone:** (940) 322-2252
- **Mailing address fax:** (940) 322-7090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | TX10742 | TX | — |
| 122300000X | Dentist | TX16192 | TX | Yes |

## Other

- **Enumeration date:** 07/29/2014
- **Last updated:** 08/27/2014