Green, Douglas
Green, Douglas is an individual health care provider with primary practice located at 10729 Town Square Dr Ne #150, Blaine MN 55449. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Green, Douglas can be contacted via phone (763) 269-8650.Contact Information
Primary practice address
10729 Town Square Dr Ne #150
Blaine MN 55449
Phone: (763) 269-8650
Fax: (763) 201-3377
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D11370 | Minnesota |
Profile Details
| NPI number | 1972614717 |
|---|---|
| LBN Legal business name | Green, Douglas |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Aug 5th, 2020 - about 5 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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