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

Derek Green DMD LLC

Organization General Practice Dentistry · NPI 1578130175

Derek Green DMD LLC is a General Practice Dentistry in Anchorage, Alaska. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4361 Boniface Pkwy
Anchorage, AK 99504-4314
Phone: (907) 333-1211
Fax: (907) 743-2925
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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

Record details

NPI number1578130175
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationDerek Green DMD LLC
Authorized official Derek Green — Owner · (480) 370-0696
NPI enumeratedJune 10, 2021
Last updated in NPPESJune 10, 2021
Certification dateJune 10, 2021
Mailing address4361 Boniface Pkwy, Anchorage, AK 99504-4314

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