Dr. Roosevely T Green Jr. is a Portsmouth, Virginia based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Roosevely T Green Jr. is 6417VA for General Practice Dentistry in Virginia. His current practice location is 600 S Green St, Portsmouth. Patients can reach him at 757-399-3752.
Dr. Roosevely T Green Jr. is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Roosevely T Green Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Roosevely T Green Jr.
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
600 S Green St, Portsmouth, Virginia, 23704
Phone:
757-399-3752
Fax:
757-399-2854
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1184790826
NPI Enumeration Date:
27 Nov, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Roosevely T Green Jr. are as mentioned below.
License Number
Specialization
State
Status
6417VA
General Practice Dentistry
Virginia
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Roosevely T Green Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
7821701
Medicaid
Virgin Island
138479
Other
CIGNA
73
Other
DOMINION
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
600 S Green St, Portsmouth, Virginia
Zip:
23704
Phone Number:
757-399-3752
Fax Number:
757-399-2854
Patients can reach Dr. Roosevely T Green Jr. at 600 S Green St, Portsmouth, Virginia or can call to book an appointment on 757-399-3752. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.