DR. Larry Paul Green SR., DDS

NPI #1912076985 in Madison, South Dakota

Provider Information

NPI Number: 1912076985
Entity Type: Individual
Name: DR. Larry Paul Green SR., DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Nov 6, 2006
Last Updated: May 15, 2023

Practice Location

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Organizations

Provider Name	Specialty	City
Embrace Madison Dental LLC	Dentist	Madison	AI Deep Dive
Larry P. Green DDS Inc., PC	Dentist	Madison	AI Deep Dive

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