Organization
GREENE DENTAL MANAGEMENT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN GREENE (OWNER)
(850) 251-1643
Entity
Organization
Contact information
Practice address
1021 S RIDGEWOOD AVE, DAYTONA BEACH, FL 32114-6151
(386) 304-2677
Mailing address
1021 S RIDGEWOOD AVE, DAYTONA BEACH, FL 32114-6151
(386) 304-2677
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
09/24/2024
Last updated
05/07/2025
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