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Active NPI 1417038712 Individual Practitioner Female Practitioner

Dr. Amber Jenkins Green , DDS

Dentist - General Practice • Lithonia, GA

Professional Overview & Biography Verified Profile Summary

Dr. Amber Green, DDS is a registered healthcare professional specializing in Dentist - General Practice in Lithonia, GA. Practice services are available at 8200 MALL PKWY STE 155 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8200 Mall Pkwy Ste 155

Lithonia, GA 300386985

Telephone 7704844051
Associated Practice Facility / Clinic
🏢 Beautiful Smiles Family Dentistry, Dds, Pc Facility NPI 1932280237

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lithonia, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
8 Specialists

Practicing in Lithonia, GA (3302 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

CMS Verified: 2022-07-13
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN012419

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
000945843D (GA)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location July 13, 2022

Registered at 8200 MALL PKWY STE 155, LITHONIA, GA 300386985 (Tel: 7704844051)

👤
Provider Name / Credentials Updated July 13, 2022

Recorded as AMBER GREEN, DDS

✅
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 8200 MALL PKWY, SUITE #155, LITHONIA, GA 300386983 (Tel: 7704844051)

📍
Updated Business Mailing Address July 08, 2007

Registered at 8200 MALL PKWY, SUITE #155, LITHONIA, GA 300386983 (Tel: 7704844051)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as AMBER DABNEY, DDS

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

Dentist (License #DN012419 in GA)

🟢
Initial NPI Registration & Enumeration October 17, 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: 1417038712
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 17, 2006
Last Update: July 13, 2022
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

8200 Mall Pkwy, Suite #155

Lithonia, GA 300386983

Phone: 7704844051

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.