Whalio Doctors

NPI 1033277942

Levi G Green, DDS

Practitioner General Practice Dentistry Olympia, WA

Practice location

Address
703 Lilly Rd NE STE 201, Olympia, WA 98506-5256
Phone
(360) 459-3400
Fax
(360) 459-9700

Registered specialties (2)

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 9986 (WA)
General Practice Dentistry
Dental Providers Taxonomy 1223G0001X Licence DE00009986 (WA)

Registry record

NPI
1033277942
Entity type
Individual
Sex (as registered)
Male
NPI issued
4 Dec 2006
Record last updated
19 Apr 2016

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.