Individual
JACOB ALAN GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
111 S GROVE ST STE 1, PETERSBURG, WV 26847-1805
(304) 257-2451
Mailing address
PO BOX 97, BAKER, WV 26801-0097
(304) 897-5915
(304) 897-8472
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4671
WV
1223G0001X
General Practice Dentistry
DN016106
GA
Other
Enumeration date
09/02/2020
Last updated
05/22/2024
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