John Green Dentistry PC
John Green Dentistry PC is a healthcare organization registered as Dental Clinic/Center in Orem, UT, holding Type 2 (organization) NPI 1417240888 since 2011. The authorized official on file is John Green, Owner, Doctor.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1417240888 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | John Green Dentistry PC |
| Other name | <Unavail> |
| Practice address | 1256 S STATE ST, SUITE 103, Orem, UT, 84097 |
| Phone | 8012247182 |
| Fax | 8012350835 |
| Enumeration date | 2011-05-18 |
| Last updated in NPPES | 2011-05-18 |
Authorized official
| Name | John Green |
|---|---|
| Title | Owner, Doctor |
| Phone | 8012247182 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QD0000X | Dental Clinic/Center | Primary | 7692415-9922 | UT |
Copy-ready billing details
Provider: John Green Dentistry PC NPI: 1417240888 Taxonomy: 261QD0000X (Dental Clinic/Center) Address: 1256 S STATE ST, SUITE 103, Orem, UT, 84097
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1457330458 | Mountain Ridge Dental, LLC | Organization | General Practice Dentistry | Orem, UT |
| 1295033843 | Juan Chavez | Individual | General Practice Dentistry | Orem, UT |
| 1851792683 | Douglas Hansen | Individual | Dentist | Orem, UT |
| 1891449849 | Jenilee Davidson | Individual | Clinical Social Worker | Orem, UT |
Verify this record
Cross-check NPI 1417240888 against the authoritative CMS record: view John Green Dentistry PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for John Green Dentistry PC?
Who is the authorized official for John Green Dentistry PC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-05-18.