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Organization
STEVEN M GREEN D D S P C
Active
Organization
STEVEN M GREEN D D S P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN MICHAEL GREEN DDS (PRESIDENT)
(317) 482-7900
Entity
Organization
Contact information
Practice address
4745 STATESMEN DR STE A, INDIANAPOLIS, IN 46250-5649
(317) 482-7900
(317) 792-8588
Mailing address
4745 STATESMEN DR STE A, INDIANAPOLIS, IN 46250-5649
(317) 482-7900
(317) 792-8588
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8575
IN
332B00000X
Durable Medical Equipment & Medical Supplies
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—
Other
Enumeration date
03/22/2007
Last updated
10/20/2021
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