Dr. Randolph Berry Green , DDS
Dentist • Rome, GA
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. Randolph Green has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Randolph Green, DDS was a registered Dentist practicing in Rome, GA. Throughout an active medical career spanning 10 years, Dr. Green provided care at the practice location at 26 CRESTWOOD DRIVE until profile deactivation on 2018-06-19.
Practice Location & Contact Primary Location
26 Crestwood Drive
Rome, GA 30165
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist in Rome, GA
Practicing in Rome, GA (2164 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 122300000X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 19, 2018
NPI status registered as active in NPPES database
Registered at 26 CRESTWOOD DRIVE, ROME, GA 30165 (Tel: 7062911038)
Registered at 26 CRESTWOOD DRIVE, ROME, GA 30165 (Tel: 7062911038)
Recorded as RANDOLPH GREEN, DDS
Dentist (License #DN005116 in GA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
26 Crestwood Drive
Rome, GA 30165
Phone: 7062911038
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