Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GORDON KEITH GREEN, DDS
Active Sole ProprietorDR. GORDON KEITH GREEN, DDS is a General Dentistry healthcare provider located in LYONS, Indiana. NPI 1265450464 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · LYONS, IN
Registration Details
- NPI Number
- 1265450464
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 17, 2006 (20.093349295002 yrs)
- Last Updated
- Dec 17, 2010
- License
-
7342 (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
147 E BROAD STLYONS, IN, 474439502Browse IN providers · Browse ZIP 47443
- Phone
- 8126592111
- Fax
- 8126592808
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in LYONS, IN
| Name | Credential | NPI |
|---|---|---|
| DR. SCOTT W POWERS | DDS | 1154367449 |
| DR. BROOKS ANDREW GREEN | D.D.S | 1003298076 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.