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

Brad H Green DDS PA

Organization General Practice Dentistry · NPI 1457548935

Brad H Green DDS PA is a General Practice Dentistry in Prairie Grove, Arkansas. Licensed in Arkansas. Registered with an NPI since 2007.

Licensed in
AR
In the registry since
2007
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

401 E Buchanan
Prairie Grove, AR 72753
Phone: (479) 846-1005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 3578 (AR)

Record details

NPI number1457548935
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brad Green — President · (479) 846-1005
NPI enumeratedSeptember 28, 2007
Last updated in NPPESMay 2, 2008
Mailing address101 S Pittman St, Po Box 288, Prairie Grove, AR 72753-3247

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