Greene, Colleen
Greene, Colleen is an individual health care provider with primary practice located at 9000 W Wisconsin Ave Dental Center, Milwaukee WI 53226-4874. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Greene, Colleen can be contacted via phone (414) 266-2040.Contact Information
Primary practice address
9000 W Wisconsin Ave Dental Center
Milwaukee WI 53226-4874
Phone: (414) 266-2040
Fax: (414) 266-5677
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 7288-15 | Wisconsin |
Profile Details
| NPI number | 1245629518 |
|---|---|
| LBN Legal business name | Greene, Colleen |
| Credentials | DMD, MPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2015 |
| Last updated | Apr 7th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245629518 | NPPES |
| Wisconsin | MEDICAID | 1245629518 |
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