Individual
DR. NATHAN MICHAEL GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
257 JOHNSTOWN CENTER DR UNIT 107, JOHNSTOWN, CO 80534-7847
(970) 699-5699
Mailing address
257 JOHNSTOWN CENTER DR UNIT 107, JOHNSTOWN, CO 80534-7847
(816) 806-1664
(319) 335-7451
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6770
NE
1223P0221X
Pediatric Dentistry
00201823
CO
1223P0221X
Pediatric Dentistry
Primary
DEN.00201823
CO
Other
Enumeration date
09/24/2009
Last updated
02/21/2024
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