# DRS ELROD GREEN DDS PA

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

## Provider details

- **NPI number:** 1972712321
- **Authorized official:** DR. DAVID A ELROD DDS (PRES)
- **Authorized official phone:** (507) 437-8208

## Contact information

- **Practice address:** 800 1ST AVE SW, AUSTIN, MN 55912
- **Practice address phone:** (507) 437-8208
- **Practice address fax:** (507) 433-7348
- **Mailing address:** 800 1ST AVE SW, AUSTIN, MN 55912
- **Mailing address phone:** (507) 437-8208
- **Mailing address fax:** (507) 433-7348

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7537 | MN | Yes |
| 1223G0001X | General Practice Dentistry | 9111 | MN | — |

## Other

- **Enumeration date:** 05/22/2007
- **Last updated:** 08/22/2020