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Deactivated NPI 1528128642 Deactivated / Inactive NPI Male Practitioner

Henry Green

Dentist - General Practice • San Antonio, TX

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

Registration / Start Date December 11, 2006
NPI Deactivation Date December 11, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Henry Green was a registered Dentist - General Practice practicing in San Antonio, TX. Throughout an active medical career spanning 19 years, Henry Green provided care at the practice location at 18850 STONE OAK PKWY until profile deactivation on 2025-12-11.

Practice Location & Contact Primary Location

Practice Address

18850 Stone Oak Pkwy

San Antonio, TX 782584113

Telephone 2104990303

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in San Antonio, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 31.4 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
786 Specialists

Practicing in San Antonio, TX (10570 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 14186

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.

Practice Associates & Co-Workers

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

5 Associated Practitioners
Dr. Mario Alvarez , DDS

Dentist - Endodontics

NPI 1013653088

Doctor of Dental Surgery

Marcus Ervin

Dentist - General Practice

NPI 1508926700
Odes Robertson

Dentist - Oral and Maxillofacial Surgery

NPI 1922168996
Dr. Sarmila Shrestha , DDS

Dentist - General Practice

NPI 1932307220

Doctor of Dental Surgery

Dr. Yves Smith , DDS

Dentist - General Practice

NPI 1952585366

Doctor of Dental Surgery

Career & Practice History Timeline

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

9 Historical Events
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NPI Profile Deactivated December 11, 2025

Record deactivated on December 11, 2025

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Updated Practice Location August 12, 2022

Registered at 14519NW MILITARY HWY #105, SHAVANO PARK, TX 78231 (Tel: 2108636331)

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Provider Name / Credentials Updated September 24, 2020

Recorded as HENRY GREEN, DDS

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 18850 STONE OAK PKWY, SAN ANTONIO, TX 782584113 (Tel: 2104990303)

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Updated Business Mailing Address July 08, 2007

Registered at 1218 SW MILITARY DR, SAN ANTONIO, TX 782211535 (Tel: 2104990303)

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Provider Name / Credentials Updated July 08, 2007

Recorded as HENRY GREEN

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

Dentist (License #14186 in TX)

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Initial NPI Registration & Enumeration December 11, 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: 1528128642
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 11, 2006
Last Update: July 08, 2007
Deactivation Date: December 11, 2025

Mailing Address

1218 Sw Military Dr

San Antonio, TX 782211535

Phone: 2104990303

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.