Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1861606584 Individual Practitioner Male Practitioner

Dr. Michael Brandon Green , DDS

Dentist - General Practice • West Jordan, UT

Professional Overview & Biography Verified Profile Summary

Dr. Michael Green, DDS is a registered healthcare professional specializing in Dentist - General Practice in West Jordan, UT. Practice services are available at 9217 REDWOOD RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9217 Redwood Rd
Suite B

West Jordan, UT 840885826

Telephone 8015661873
Fax 8013070215
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in West Jordan, UT

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

Practicing in West Jordan, UT (1388 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 UT 6229925

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
528373269007 (UT)

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Heston Farnsworth , DMD

Dentist - General Practice

NPI 1154705960

Doctor of Dental Medicine

NPI 1710116041

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 9217 REDWOOD RD, SUITE B, WEST JORDAN, UT 840885826 (Tel: 8015661873)

📍
Updated Business Mailing Address July 09, 2007

Registered at 9217 REDWOOD RD, SUITE B, WEST JORDAN, UT 840885826 (Tel: 8015661873)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as MICHAEL GREEN, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #6229925 in UT)

🟢
Initial NPI Registration & Enumeration May 10, 2007

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: 1861606584
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 10, 2007
Last Update: July 09, 2007
Sole Proprietor: No

Mailing Address

9217 Redwood Rd, Suite B

West Jordan, UT 840885826

Phone: 8015661873

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.