Individual
DR. STEPHEN C GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
37 NORTH AVE, NORWALK, CT 06851
(203) 853-6350
Mailing address
37 NORTH AVENUE, SUITE 103, NORWALK, CT 06851-5710
(203) 853-6350
(203) 853-6351
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
027535
NY
1223G0001X
General Practice Dentistry
Primary
4218
CT
1223X0008X
Oral and Maxillofacial Radiology Dentistry
004218
CT
Other
Enumeration date
07/27/2006
Last updated
10/19/2018
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