Doctor profile · Federal record
Dr. Dallis. Green, M.D.
Surgery Physician · Suffolk, VA
- NPI 1386806479
- 18 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1531 Olde Mill Creek Dr
Suffolk, VA 234342320
(504) 858-6857 - Mailing address
-
1431 W Nine Mile RD Unit 11304
Pensacola, FL 325345373
Credentials & registration
- NPI registered
- June 2008 — 18 yrs on file
- Profile last updated
- April 7, 2022
- Specialty taxonomy
- 208600000X — NUCC code
- State license (1)
- Virginia #N/A
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1386806479. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$150
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| BIOTISSUE HOLDINGS INC. | 1 | $149.62 |
By nature of payment
Frequently asked questions
What is Dr. Dallis. Green's medical specialty?
Dr. Dallis. Green practices Surgery Physician in Suffolk, VA.
Where does Dr. Dallis. Green practice?
Dr. Dallis. Green practices at 1531 Olde Mill Creek Dr, Suffolk, VA 234342320. Office phone: 5048586857.
What is Dr. Dallis. Green's NPI?
Dr. Dallis. Green's National Provider Identifier (NPI) is 1386806479, issued by NPPES.