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

Dr. Jon Tyler Green, DMD

Individual provider Dentist · NPI 1023622347

Dr. Jon Tyler Green, DMD is a Dentist in Ft Sill, Oklahoma. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2020
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 Partly verified

Some contact details are missing from the federal record.

USA Dental Health Activity 652 Hamilton Rd
Ft Sill, OK 73503
Phone: (580) 442-3905
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D-5147 (ID)

Record details

NPI number1023622347
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedSeptember 3, 2020
Last updated in NPPESSeptember 3, 2020
Certification dateAugust 31, 2020
Mailing addressUsa Dental Health Activity, 652 Hamilton Rd., Ft. Sill, OK 73503

Other providers in Ft Sill