Gordon Keith Green in Lyons - General Practice
Gordon Keith Green - NPI 1265450464
Gordon Keith Green is a General Practice in Lyons, Indiana. Gordon Keith Green practices all healthcare services and medical treatments related to General Practice. The NPI Number for Gordon Keith Green is 1265450464. The last update date is 2010-12-17.
Gordon Keith Green's current location address is P O Box 501, Lyons, Indiana. You can contact this provider via phone number 8126592111 and fax number 8126592808. The mailing address for Gordon Keith Green is P O Box 501, Lyons, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Gordon Keith Green |
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Address | P O Box 501, Lyons, Indiana |
Phone Number | 8126592111 |
Fax Number | 8126592808 |
Sole Proprietor | Y |
Credentials | DDS |
NPI Number Detail
NPI Number | 1265450464 |
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Provider Enumeration Date | 2006-07-17 |
Last Updated Date | 2010-12-17 |
Provider Mailing Address Detail
Address | P O Box 501 |
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City | Lyons |
State | Indiana (IN) |
Post Code | 474439502 |
Phone Number | 8126592111 |
Fax Number | 8126592808 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | 7342 |
Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
100124690A | IN | -- | |
457474 | IN | UNITED CONCORDIA |
Post Comment/ Review Below
What is the Gordon Keith Green's unique identification number?
The Gordon Keith Green has been assigned the NPI (National Provider Identifier) Number 1265450464 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Gordon Keith Green's physical address?
The Gordon Keith Green is physically located at P O Box 501, in the city of Lyons, IN, with the postal code 474439502.
What is Gordon Keith Green's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gordon Keith Green is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1265450464 to Gordon Keith Green?
The Centers for Medicare & Medicaid Services originally issued the 1265450464 to Gordon Keith Green on 2006-07-17.
When was the information regarding Gordon Keith Green most recently updated?
The details pertaining to the Gordon Keith Green, including its address, specialty, and other relevant information, were last refreshed on 2010-12-17.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA