Green, Ryan Q.

Green, Ryan Q. is an individual health care provider with primary practice located at 1904 Pine St Suite 1-D, Abilene TX 79601-2449. He recently has 3 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Green, Ryan Q. can be contacted via phone (325) 232-8939.

Contact Information

Primary practice address
1904 Pine St Suite 1-D Abilene TX 79601-2449
Phone: (325) 232-8939
Fax: (325) 232-8943
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 24237 Texas
Other Service Providers / Specialist 174400000X N4439 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X N4439 Texas

Profile Details

NPI number 1295916450
LBN Legal business name Green, Ryan Q.
Credentials DDS, MD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2007
Last updated Nov 19th, 2012 - about 13 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 1295916450 NPPES
Texas MEDICAID 2119414-01

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