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

Jacob Alan Greene, DMD

Individual provider General Practice Dentistry · NPI 1407460942

Jacob Alan Greene, DMD is a General Practice Dentistry in Petersburg, West Virginia. Works from 3 locations. Licensed in Georgia and West Virginia.

Licensed in
GA, WV
In the registry since
2020
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

111 S Grove St Ste 1
Petersburg, WV 26847-1805
Phone: (304) 257-2451
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6214 Bradley Park Dr, Columbus, GA 31904-3078 — (706) 322-8988
  • 614 W Main St, Manchester, GA 31816-1542 — (706) 441-0405

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 4671 (WV)
General Practice Dentistry Taxonomy 1223G0001X · Licence DN016106 (GA)

Record details

NPI number1407460942
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedSeptember 2, 2020
Last updated in NPPESMay 22, 2024
Certification dateMay 22, 2024

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