# DR GREEN & ASSOCIATES PC

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

## Provider details

- **NPI number:** 1386840809
- **Authorized official:** DR. WILEY F GREEN DDS (PRESIDENT)
- **Authorized official phone:** (765) 659-3078

## Contact information

- **Practice address:** 1961 SOUTH JACKSON ST, FRANKFORT, IN 46041-3359
- **Practice address phone:** (765) 659-3078
- **Mailing address:** PO BOX 301, 1961 S JACKSON ST, FRANKFORT, IN 46041-3359
- **Mailing address phone:** (765) 659-3078

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 54000603A | IN | Yes |

## Other

- **Enumeration date:** 06/22/2007
- **Last updated:** 06/09/2016