Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brad H. Green DDS, PA

Organization Dentist · NPI 1205175676

Brad H. Green DDS, PA is a Dentist in Fayetteville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2013.

Licensed in
AR
In the registry since
2013
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2421 N Center St Ste D
Fayetteville, AR 72701-9455
Phone: (479) 445-6919
Fax: (479) 445-6929
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 3578 (AR)

Record details

NPI number1205175676
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brad Green — Owner · (479) 445-7281
NPI enumeratedFebruary 5, 2013
Last updated in NPPESFebruary 5, 2013
Mailing address101 S Pittman St, Prairie Grove, AR 72753-3247

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