| Dr Kevan S Green, DMD | |
|
215 E Baltimore Ave, Clifton Heights, PA 19018-1605 | |
| (610) 623-4493 | |
| (610) 623-0871 |
| Full Name | Dr Kevan S Green |
|---|---|
| Gender | Male |
| Speciality | Dentist - Periodontics |
| Location | 215 E Baltimore Ave, Clifton Heights, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518008093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 22DI01467000 (New Jersey) | Secondary |
| 1223P0300X | Dentist - Periodontics | DS024064L (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevan S Green, DMD 215 E Baltimore Ave, Clifton Heights, PA 19018-1605 Ph: (610) 623-4493 | Dr Kevan S Green, DMD 215 E Baltimore Ave, Clifton Heights, PA 19018-1605 Ph: (610) 623-4493 |
Marziyeh Khodabakhsh, Dentist Medicare: Not Enrolled in Medicare Practice Location: 4 Rockbourne Rd Ste 400, Clifton Heights, PA 19018 Phone: 484-461-0128 | |
Vincent Camillo Pepe, DMD Dentist Medicare: Medicare Enrolled Practice Location: 5349 Brittany Drive, Clifton Heights, PA 19018 Phone: 610-626-0339 | |
Dr. David E Freilich, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 429 N Springfield Rd, Clifton Heights, PA 19018 Phone: 610-623-5151 Fax: 610-623-5381 | |
Dr. Jerry M Hark, DDS Dentist Medicare: Medicare Enrolled Practice Location: 44 W Baltimore Avenue, Clifton Heights, PA 19018 Phone: 610-622-2684 |