Provider Demographics
NPI:1851272504
Name:GREENE DENTAL LLC
Entity type:Organization
Organization Name:GREENE DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAYLIN
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:GREENE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:561-758-4791
Mailing Address - Street 1:126 HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70124-2010
Mailing Address - Country:US
Mailing Address - Phone:504-553-1393
Mailing Address - Fax:
Practice Address - Street 1:126 HARRISON AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70124-2010
Practice Address - Country:US
Practice Address - Phone:504-553-1393
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental