Search › Utah › 122300000X
Michael Green, DDS
NPI 1932181674 · on the registry since 2005 · sole proprietor
Practice
- Address
- 286 E 12200 S
Draper, UT 84020 - Phone
- (801) 877-3664
- Clinicians at this address
- 3
Additional practice sites
- 12465 S Fort St Ste 100, Draper, UT
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 122300000X
- Licence states on file
- UT, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-06-30
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 Utah