Greene Dental Management, Pllc

Specialty details in registry · Daytona Beach, FL

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At a glance

1021 S Ridgewood Ave, Daytona Beach, FL 32114-6151

NPPES record updated May 7, 2025. Public records can lag behind changes at a practice.

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Practice location

1021 S Ridgewood Ave
Daytona Beach, FL 32114-6151
Professional details: NPI, taxonomy & registry record
NPI1306663059
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
1223P0221X
Enumeration date
Sep 24, 2024
Record updated
May 7, 2025
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

1223P0221X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1021 S Ridgewood Ave
Daytona Beach, FL 32114-6151
Phone
(386) 304-2677
Mailing address
1021 S RIDGEWOOD AVE

DAYTONA BEACH, FL 321146151
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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