# GREENE ENDODONTICS, LLC

> 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:** 1821562307
- **Authorized official:** DR. RYAN JOSEPH GREENE (OWNER)
- **Authorized official phone:** (765) 649-1277

## Contact information

- **Practice address:** 3811 FAIRVIEW DR, ANDERSON, IN 46013-4059
- **Practice address phone:** (765) 649-1277
- **Practice address fax:** (765) 357-9121
- **Mailing address:** 3811 FAIRVIEW DR, ANDERSON, IN 46013-4059
- **Mailing address phone:** (765) 649-1277
- **Mailing address fax:** (765) 357-9121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 01/17/2019
- **Last updated:** 01/17/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 300013383 | — | IN |