Individual
DR. ROOSEVELY T GREEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
600 S GREEN ST, PORTSMOUTH, VA 23704
(757) 399-3752
(757) 399-2854
Mailing address
600 S GREEN ST, PORTSMOUTH, VA 23704
(757) 399-3752
(757) 399-2854
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6417VA
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138479
CIGNA
—
01
—
73
DOMINION
—
05
—
7821701
—
VI
Enumeration date
11/27/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us