Provider Demographics
NPI:1154137727
Name:GREEN HILLS DENTAL
Entity type:Organization
Organization Name:GREEN HILLS DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARIFBEIGI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:201-562-3495
Mailing Address - Street 1:2121 MORGANTOWN RD
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19607-9623
Mailing Address - Country:US
Mailing Address - Phone:610-775-4840
Mailing Address - Fax:
Practice Address - Street 1:2121 MORGANTOWN RD
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19607-9623
Practice Address - Country:US
Practice Address - Phone:610-775-4840
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty