Green Dental of Owen County

NPI #1689107559 in Spencer, Indiana

Provider Information

NPI Number: 1689107559
Entity Type: Organization
Organization Name: Green Dental of Owen County
Primary Specialty: Dentist
Enumeration Date: Apr 7, 2017
Last Updated: Apr 7, 2017

Practice Location

Address: 51 N MAIN ST
City: Spencer
State: Indiana
ZIP Code: 47460-1311
Phone: (812) 829-2261

Authorized Official

Name: BROOKS ANDREW GREEN, DDS
Title: OWNER/DENTIST
Phone: (812) 829-2261

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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