Individual
JAMES EVANS GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
11900 SHAKER BLVD, 2ND FLOOR, CLEVELAND, OH 44120-1925
(216) 721-0500
(216) 721-0523
Mailing address
11900 SHAKER BLVD., 2ND FLOOR, CLEVELAND, OH 44120
(216) 721-0500
(216) 721-0523
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30015854
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408566
—
OH
Enumeration date
03/23/2007
Last updated
08/25/2016
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