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Active NPI 1194254714 Individual Practitioner Male Practitioner

Dr. Austin Revvie Green , DDS

Dentist - General Practice • Waco, TX

Professional Overview & Biography Verified Profile Summary

Dr. Austin Green, DDS is a registered healthcare professional specializing in Dentist - General Practice in Waco, TX. Practice services are available at 7911 WOODWAY DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7911 Woodway Dr

Waco, TX 767123866

Telephone 2547723632
Associated Practice Facility / Clinic
🏢 Creekwood Dental Arts, Pllc Facility NPI 1235735218

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Waco, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.3 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
67 Specialists

Practicing in Waco, 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

CMS Verified: 2020-12-10
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 33131

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.

Secondary Practice Locations

789 Howard Ave

New Haven, CT 065191304

Phone: 2036882464

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1346367612

Doctor of Dental Surgery

Dr. Donna Miller , DDS

Dentist - General Practice

NPI 1689682874

Doctor of Dental Surgery

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Business Mailing Address December 10, 2020

Registered at 7911 WOODWAY DR, WACO, TX 767123866 (Tel: 2547723632)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 10, 2020

Dentist (License #33131 in TX)

📍
Updated Practice Location November 26, 2018

Registered at 7911 WOODWAY DR, WACO, TX 767123866 (Tel: 2547723632)

NPI Profile Active June 07, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 07, 2017

Registered at 789 HOWARD AVE, NEW HAVEN, CT 065191304 (Tel: (203) 688-2464)

📍
Updated Business Mailing Address June 07, 2017

Registered at 789 HOWARD AVE, NEW HAVEN, CT 065191304 (Tel: 2036882464)

👤
Provider Name / Credentials Updated June 07, 2017

Recorded as AUSTIN GREEN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 07, 2017

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: 1194254714
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 07, 2017
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

7911 Woodway Dr

Waco, TX 767123866

Phone: 2547723632

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.