Individual provider · NPI-1

Sadie M Green, DHAT

Dental Therapist · Bethel, AK

NPI number1831646447
StatusActive
Last updated in NPPESSep 1, 2016

Details

NPI
1831646447
Entity type
Individual (NPI-1)
Name
Miss Sadie M Green
Credential
DHAT
Sex
Female
Sole proprietor
No
Enumeration date
Sep 1, 2016
Last updated
Sep 1, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
125J00000X Dental Therapist16-136-DHATAKYes

Other names

  • Sadie Green (Former Name)

Practice location

528 Chief Eddie Hoffman Hwy
Bethel, AK 99559-0304

Phone 907-545-9022

Mailing address

Po Box 304
Hooper Bay, AK 99604-0304

Phone 907-545-9022

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