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Deactivated NPI 1649387135 Deactivated / Inactive NPI Male Practitioner

Dr. Dan Roy Green , DDS

Dentist • Modesto, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Dan Green has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 23, 2006
NPI Deactivation Date February 08, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Dan Green, DDS was a registered Dentist practicing in Modesto, CA. Throughout an active medical career spanning 11 years, Dr. Green provided care at the practice location at 1801 H ST until profile deactivation on 2017-02-08.

Practice Location & Contact Primary Location

Practice Address

1801 H St
Ste A7

Modesto, CA 95354

Telephone 2095721722
Fax 2095721725
Associated Practice Facility / Clinic
🏢 Fernando A Marchetti Dds Facility NPI 1265644744

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Modesto, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
110 Specialists

Practicing in Modesto, CA (15331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 22804

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Fernando Marchetti , DDS

Dentist - General Practice

NPI 1669589149

Doctor of Dental Surgery

Dr. Alois Regalado , DDS

Dentist - General Practice

NPI 1699882183

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 08, 2017

Record deactivated on February 08, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1801 H ST, STE A7, MODESTO, CA 95354 (Tel: 2095721722)

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Updated Business Mailing Address July 08, 2007

Registered at 3401 DUTCH FLAT CT, MODESTO, CA 953543377 (Tel: 2095240545)

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Provider Name / Credentials Updated July 08, 2007

Recorded as DAN GREEN, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #22804 in CA)

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Initial NPI Registration & Enumeration August 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649387135
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 23, 2006
Last Update: July 08, 2007
Deactivation Date: February 08, 2017

Mailing Address

3401 Dutch Flat Ct

Modesto, CA 953543377

Phone: 2095240545

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.