NPI 1003953316

Zachery K Green, DDS

Practitioner General Practice Dentistry Durango, CO

Practice location

Address: 125 County Road 250, Durango, CO 81301-8530
Phone: (970) 247-0682

Registered specialties (2)

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence #1151 (WY)

Other Dentist providers in Colorado →

Dentist

Dental Providers Taxonomy 122300000X Licence 1511 (WY)

Registry record

NPI: 1003953316
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jan 2007
Record last updated: 30 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.