Search › Pennsylvania › 1223P0300X
Kevan Green, DMD
NPI 1518008093 · on the registry since 2007 · sole proprietor
Practice
- Address
- 215 E Baltimore Ave
Clifton Heights, PA 19018 - Phone
- (610) 623-4493
- Fax
- (610) 623-0871
Registry record
- Primary taxonomy
- 1223P0300X
1223P0300X
- Also registered as
- 1223P0300X
- Licence states on file
- NJ, PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-05-12
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 Pennsylvania