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Contact Information

MICHAEL L GREENE SR, DDS
711 BLUE HILLS AVE
HARTFORD, CT06112
 Phone: 860-242-4848
 Fax: 860-242-8241
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for MICHAEL L GREENE SR · (Male)

NPI # 1205941226
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/20/2006
Last updated 06/07/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 7029
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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