Individual
DR. WILEY FRANK GREEN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1961 S JACKSON ST, FRANKFORT, IN 46041-3359
(765) 659-3078
(765) 659-5551
Mailing address
1961 S JACKSON ST, FRANKFORT, IN 46041-3359
(765) 659-3078
(765) 659-5551
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
120006944
IN
1223G0001X
General Practice Dentistry
120006944
IN
171100000X
Acupuncturist
82000002A
IN
Other
Enumeration date
08/23/2017
Last updated
07/21/2022
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