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Green Dental — NPI 1134615347, Lyons, IN | NPI Central

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NPI 1134615347

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Green Dental

NPI 1134615347 · Dentist · Lyons, IN

Provider details

NPI number: 1134615347
Entity type: Organization
Primary specialty: DentistDental Providers
Organization subpart: No
Authorized official: Brooks Green, Dentist, Part Owner(812) 699-0889
License: 12012283A (IN)

Specialties & taxonomies

DentistPrimary122300000XLicense 12012283A (IN)
Dental Providers

Practice location

147 E Broad St

Lyons, IN 47443-9502

Phone: (812) 659-2111

Fax: (812) 659-2808

Approximate (ZIP-level) locationGet directions

More IN providers

Mailing address

147 E Broad St

Lyons, IN 47443-9502

Registry dates

Enumerated: 2018-07-11
Last updated: 2018-07-11

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.