Individual provider · Type 1 NPI
Gordon Keith Green, DDS
General Practice Dentistry · Lyons, IN
NPI number
1265450464
Active
Practice location
147 E Broad St
Lyons, IN 47443-9502
Fax (812) 659-2808
Mailing address
P O Box 501, 147 East Broad St
Lyons, IN 47443-9502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 7342 (IN) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3 other providers at this address
Other general practice dentistry providers in Lyons
About NPI 1265450464
Gordon Keith Green, DDS's National Provider Identifier is 1265450464, issued on Jul 17, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Lyons, IN. The record was last updated on Dec 17, 2010.