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 practises 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 Not confirmed with CMS for 19 years — call before visiting
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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