Individual
DR. JONATHAN EDWARD GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
65 SACHEM ST, NORWICH, CT 06360-4201
(860) 889-8427
(860) 204-9402
Mailing address
65 SACHEM ST, NORWICH, CT 06360-4201
(860) 889-8427
(860) 204-9402
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
009537
CT
1223G0001X
General Practice Dentistry
DEN02733
RI
Other
Enumeration date
08/09/2006
Last updated
03/14/2016
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