# DR. WILEY FRANK GREEN II

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1043737836
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 120006944 | IN | Yes |
| 1223G0001X | General Practice Dentistry | 120006944 | IN | — |
| 171100000X | Acupuncturist | 82000002A | IN | — |

## Other

- **Enumeration date:** 08/23/2017
- **Last updated:** 07/21/2022