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Gordon Green, DDS
NPI 1265450464 · on the registry since 2006 · sole proprietor
Practice
- Address
- 147 E Broad St
Lyons, IN 47443 - Phone
- (812) 659-2111
- Fax
- (812) 659-2808
- Organisation at this address
- Green Dental
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-12-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana