# GREEN COUNTRY DENTAL ARTS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023311388
- **Authorized official:** DR. JOHN LARD D.D.S. (PRESIDENT)
- **Authorized official phone:** (918) 336-1030

## Contact information

- **Practice address:** 1820 SE WASHINGTON BLVD, BARTLESVILLE, OK 74006-6734
- **Practice address phone:** (918) 336-1030
- **Practice address fax:** (918) 336-1052
- **Mailing address:** 1820 SE WASHINGTON BLVD, BARTLESVILLE, OK 74006-6734
- **Mailing address phone:** (918) 336-1030
- **Mailing address fax:** (918) 336-1052

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5431 | OK | Yes |
| 122300000X | Dentist | 5779 | OK | — |

## Other

- **Enumeration date:** 12/08/2010
- **Last updated:** 12/08/2010