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

Dr. Gary Wayne Green, DDS

Individual provider Periodontics · NPI 1992748529

Dr. Gary Wayne Green, DDS is a Periodontics in Encino, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

16133 Ventura Blvd Ste 1040
Encino, CA 91436-2403
Phone: (818) 995-0294
Fax: (818) 995-7549
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 22605 (CA)

Record details

NPI number1992748529
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 13, 2006
Last updated in NPPESSeptember 5, 2011
Mailing address16133 Ventura Blvd, Suite 1040, Encino, CA 91436-2403

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