Zachery K Green
Dentist Dentist - General Practice
125 County Road 250
Durango
, Colorado 81301-8530
Zachery K Green
Dentist Dentist - General Practice
125 County Road 250
Durango
, Colorado 81301-8530
(970) 247-0682
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About
Features
Specialties
- Dentist
- General Practice
Languages spoken
- English
Location
First Address
- Zachery K Green
- 125 County Road 250
- Durango, CO
- Zip : 81301-8530
- Fax : (970) 247-0682
- Phone : (970) 247-0682
Second Address
- Zachery K Green
- 125 County Road 250
- Durango, CO
- Zip : 81301-8530
- Phone : (970) 247-0682
Reviews
FAQs
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What type of doctor is Zachery K Green
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Is Zachery K Green a sole practitioner?
Is Zachery K Green accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 122300000X | Dentist | 1511 | WY |
| Y | 1223G0001X | General Practice | #1151 | WY |
| Y | 213EG0000X | General Practice | #1151 | WY |
National Provider Identifier
| NPI | 1003953316 |
|---|---|
| Provider Name | Zachery K Green |
| First Address | Durango, CO 81301-8530 |
| Second Address | Durango, CO 81301-8530 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/01/2007 |
| Last Update Date | 30/09/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 124331400 | (05) | WY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.