Greene, Ira M
Greene, Ira M is an individual health care provider with primary practice located at 34 Dale Rd , Avon CT 06001-3659. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Greene, Ira M can be contacted via phone (330) 674-0874.Contact Information
Primary practice address
34 Dale Rd
Avon CT 06001-3659
Phone: (330) 674-0874
Fax: (860) 674-8716
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 5835CT | Connecticut |
Profile Details
| NPI number | 1801887633 |
|---|---|
| LBN Legal business name | Greene, Ira M |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2005 |
| Last updated | Jul 9th, 2007 - about 18 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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