Individual
DR. JOHN WHITCOMB GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
140 N 10TH STREET, NOBLESVILLE, IN 46060-2202
(317) 773-3888
(317) 773-3888
Mailing address
140 N 10TH STREET, NOBLESVILLE, IN 46060-2202
(317) 773-3888
(317) 773-3888
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12007024A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12007024B
STATE DRUG LICENSE
IN
Enumeration date
09/29/2006
Last updated
03/07/2023
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