Green, Nicole Renee

Green, Nicole Renee is an individual health care provider with primary practice located at 10450 185Th St W Suite 500, Lakeville MN 55044-6686. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Green, Nicole Renee can be contacted via phone (952) 435-9888.

Contact Information

Primary practice address
10450 185Th St W Suite 500 Lakeville MN 55044-6686
Fax: (952) 435-9820
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 011063 Minnesota

Profile Details

NPI number 1669581278
LBN Legal business name Green, Nicole Renee
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Feb 27th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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