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

Dr. Roosevely T Green Jr., DDS

Individual provider General Practice Dentistry · NPI 1184790826

Dr. Roosevely T Green Jr., DDS is a General Practice Dentistry in Portsmouth, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
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

600 S Green St
Portsmouth, VA 23704
Phone: (757) 399-3752
Fax: (757) 399-2854
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 6417VA (VA)

Record details

NPI number1184790826
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedNovember 27, 2006
Last updated in NPPESJuly 8, 2007

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