Whalio Doctors

NPI 1003298076

Brooks Andrew Green, DDS

Practitioner General Practice Dentistry Lyons, IN

Practice location

Address
147 E Broad St, Lyons, IN 47443-9502
Phone
(812) 659-2111

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 12012283A (IN)

Registry record

NPI
1003298076
Entity type
Individual
Sex (as registered)
Male
NPI issued
25 Jun 2015
Record last updated
25 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.