IndividualActive
Brooks Green, D.D.S
NPI 1003298076 · General Practice Dentistry · Lyons, IN
Provider details
- NPI number
- 1003298076
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S
- Sex
- Male
- Sole proprietor
- No
- License
- 12012283A (IN)
Specialties & taxonomies
Dental Providers
Practice location
147 E Broad St
Lyons, IN 47443-9502
Phone: (812) 659-2111
Approximate (ZIP-level) locationGet directions
Mailing address
147 E Broad St
Lyons, IN 47443-9502
Registry dates
- Enumerated
- 2015-06-25
- Last updated
- 2015-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.