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Deactivated NPI 1295717213 Deactivated / Inactive NPI Male Practitioner

Dr. Scott Stewart Green , DDS

Dentist • Omaha, NE

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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. Scott Green has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 16, 2005
NPI Deactivation Date May 15, 2024
Total Practice Duration ~19 Years of Practice (2005 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Scott Green, DDS was a registered Dentist practicing in Omaha, NE. Throughout an active medical career spanning 19 years, Dr. Green provided care at the practice location at 628 N 129TH ST until profile deactivation on 2024-05-15.

Practice Location & Contact Primary Location

Practice Address

628 N 129th St

Omaha, NE 681546107

Telephone 4024929398
Fax 4024310226
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Omaha, NE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.3 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
240 Specialists

Practicing in Omaha, NE (693 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 NE 6276

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

1 Associated Practitioners
Dr. Timothy Burchfiel , DDS

Dentist - General Practice

NPI 1104886423

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 May 15, 2024

Record deactivated on May 15, 2024

NPI Profile Active November 10, 2011

NPI status registered as active in NPPES database

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Updated Practice Location November 10, 2011

Registered at 628 N 129TH ST, OMAHA, NE 681546107 (Tel: 4024929398)

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Updated Business Mailing Address November 10, 2011

Registered at 628 N 129TH ST, OMAHA, NE 681546107 (Tel: 4024929398)

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Provider Name / Credentials Updated November 10, 2011

Recorded as SCOTT GREEN, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2011

Dentist (License #6276 in NE)

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Initial NPI Registration & Enumeration November 16, 2005

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: 1295717213
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 16, 2005
Last Update: November 10, 2011
Deactivation Date: May 15, 2024

Mailing Address

628 N 129th St

Omaha, NE 681546107

Phone: 4024929398

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.