# LADD DENTAL OF GREENTOWN P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1730103391
- **Authorized official:** DR. JOHN R LADD (PRESIDENT)
- **Authorized official phone:** (765) 628-2203

## Contact information

- **Practice address:** 520 W MAIN ST, GREENTOWN, IN 46936-1021
- **Practice address phone:** (765) 628-2203
- **Practice address fax:** (765) 628-0790
- **Mailing address:** 520 W MAIN ST, GREENTOWN, IN 46936-1021
- **Mailing address phone:** (765) 628-2203
- **Mailing address fax:** (765) 628-0790

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | IN | Yes |

## Other

- **Enumeration date:** 07/27/2006
- **Last updated:** 08/22/2020