Green, Dena A

Green, Dena A is an individual health care provider with primary practice located at 1400 S Dobson Rd , Mesa AZ 85202-4707. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Green, Dena A can be contacted via phone (480) 412-4204.

Contact Information

Primary practice address
1400 S Dobson Rd Mesa AZ 85202-4707
Phone: (480) 412-4204
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 40325 Wisconsin
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 40325-20 Wisconsin

Profile Details

NPI number 1740370519
LBN Legal business name Green, Dena A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Jun 1st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740370519 NPPES
Wisconsin Other K400416358-000054176 WI MEDICARE
Wisconsin Other 1740370519 WI MEDICARE
Wisconsin MEDICAID 1740370519 WI MEDICARE
Wisconsin Other GREENDEN WI MEDICARE

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