Search › West Virginia › 1223G0001X
Jacob Greene, DMD
NPI 1407460942 · on the registry since 2020
Practice
- Address
- 111 S Grove St Ste 1
Petersburg, WV 26847 - Phone
- (304) 257-2451
- Organisation at this address
- E. A. Hawse Health Center, Inc.
E. A. Hawse Health Center, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 15
Additional practice sites
- 6214 Bradley Park Dr, Columbus, GA
- 614 W Main St, Manchester, GA
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 1223G0001X
- Licence states on file
- GA, WV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-05-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia