Organization
GERALD C. GREEN, DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AURORA A GREEN (MANAGER)
(717) 299-5544
Entity
Organization
Contact information
Practice address
2207 OREGON PIKE STE 201, LANCASTER, PA 17601-4670
(717) 299-5544
Mailing address
2207 OREGON PIKE STE 201, LANCASTER, PA 17601-4670
(717) 299-5544
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467545392
NPI
PA
01
—
1750056008
NPI
PA
Enumeration date
10/13/2021
Last updated
10/13/2021
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