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

John Green Dentistry PC

Organization Dental Clinic/Center · NPI 1417240888

John Green Dentistry PC is a Dental Clinic/Center in Orem, Utah. Licensed in Utah. Registered with an NPI since 2011.

Licensed in
UT
In the registry since
2011
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1256 S State St Ste 103
Orem, UT 84097-8237
Phone: (801) 224-7182
Fax: (801) 235-0835
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 7692415-9922 (UT)

Record details

NPI number1417240888
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Green — Owner, Doctor · (801) 224-7182
Other names Mountain Ridge Dental
NPI enumeratedMay 18, 2011
Last updated in NPPESMay 18, 2011
Mailing address1256 S State St, Suite 103, Orem, UT 84097-8237

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