Larry P. Green DDS Inc., PC

NPI #1760179519 in Madison, South Dakota

Provider Information

NPI Number: 1760179519
Entity Type: Organization
Organization Name: Larry P. Green DDS Inc., PC
Primary Specialty: Dentist
Enumeration Date: Apr 21, 2023
Last Updated: May 15, 2023

Practice Location

Address: 102 N EGAN AVE
City: Madison
State: South Dakota
ZIP Code: 57042-2909
Phone: (605) 256-4969

Authorized Official

Name: LARRY PAUL GREEN JR., DDS
Title: DENTIST
Phone: (605) 256-4969

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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