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

Greene Dental Management, PLLC

Organization Pediatric Dentistry · NPI 1306663059

Greene Dental Management, PLLC is a Pediatric Dentistry in Daytona Beach, Florida. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1021 S Ridgewood Ave
Daytona Beach, FL 32114-6151
Phone: (386) 304-2677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1306663059
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Greene — Owner · (850) 251-1643
NPI enumeratedSeptember 24, 2024
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025
Mailing address1021 S Ridgewood Ave, Daytona Beach, FL 32114-6151

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