Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Javier Raul Simpson Green I, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1366368904

Dr. Javier Raul Simpson Green I, DDS is a Student in an Organized Health Care Education/Training Program in Union City, California. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026
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

1203 J St
Union City, CA 94587-3331
Phone: (510) 489-5200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1366368904
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 27, 2026
Last updated in NPPESJune 27, 2026
Certification dateJune 27, 2026

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