Organization
GREEN DENTAL OF OWEN COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKS ANDREW GREEN DDS (OWNER/DENTIST)
(812) 829-2261
Entity
Organization
Contact information
Practice address
51 N MAIN ST, SPENCER, IN 47460-1311
(812) 829-2261
(812) 829-2263
Mailing address
51 N MAIN ST, SPENCER, IN 47460-1311
(812) 829-2261
(812) 829-2263
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012283A
IN
Other
Enumeration date
04/07/2017
Last updated
04/07/2017
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