Individual
DR. KENNETH PETER GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
NATIONAL NAVAL MEDICAL CENTER, 8901 WISCONSIN AVENUE, BETHESDA, MD 20889-0001
(202) 762-3032
Mailing address
5310 CONNECTICUT AVE NW, #5, WASHINGTON, DC 20015-1852
(202) 577-5105
(202) 537-7117
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
036312
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036312
DENTISTRY
NY
Enumeration date
02/22/2006
Last updated
07/13/2026
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