Individual
DR. BRUCE GREGORY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8901 WISCONSIN AVENUE, DEPARTMENT OF COMPREHENSIVE DENTISTRY, BETHESDA, MD 20889-0001
(301) 295-0145
(301) 295-0505
Mailing address
15438 FOREST OAK ST, PRAIRIEVILLE, LA 70769-4951
(504) 874-1309
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4353
LA
Other
Enumeration date
04/05/2006
Last updated
07/13/2026
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