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Gordon Green, DDS — NPI 1265450464, Lyons, IN | NPI Central

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Gordon Green, DDS

NPI 1265450464 · General Practice Dentistry · Lyons, IN

Provider details

NPI number: 1265450464
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: DDS
Sex: Male
Sole proprietor: Yes
License: 7342 (IN)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense 7342 (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

P O Box 501

Lyons, IN 47443-9502

Registry dates

Enumerated: 2006-07-17
Last updated: 2010-12-17

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