Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. James Russell Green IV, DMD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1396970653

Dr. James Russell Green IV, DMD is an Oral and Maxillofacial Surgery (Dentist) in Tampa, Florida. Licensed in Florida and New York. Registered with an NPI since 2009.

Licensed in
FL, NY
In the registry since
2009
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1309 W Fletcher Ave
Tampa, FL 33612
Phone: (813) 960-5540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 18270 (FL)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence P64379 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence P64379 (NY)

Record details

NPI number1396970653
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 15, 2009
Last updated in NPPESMarch 27, 2018

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