GREEN DENTAL
NPI 1134615347
Dentist in Lyons, IN

Active since July 11, 2018
147 E BROAD ST, LYONS, IN 47443(812) 659-2111(812) 659-2808 Get Directions Write a Review

NPPES record last updated: July 11, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Green Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREEN DENTAL (NPI 1134615347) is a healthcare organization registered as a dentist in Lyons, Indiana and active in the NPI registry since July 2018. The organization lists Brooks Andrew Green, Dentist, Part Owner, as its authorized official.

NPPES Registry Identity

NPI1134615347
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameGREEN DENTAL
Location Address147 E BROAD STLyons, IN 47443-9502
Mailing Address147 E Broad StLyons, IN 47443-9502 · (812) 659-2111 · Fax (812) 659-2808
Fax(812) 659-2808
Organization SubpartNo
Authorized OfficialBrooks Andrew GreenDentist, Part Owner · (812) 699-0889
Enumeration DateJuly 11, 2018
NPI 1134615347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in IN · 12012283A
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

147 E BROAD ST, Lyons, IN 47443

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
147 E BROAD ST
LYONS, IN 47443
Dentist (General Practice)
147 E BROAD ST
LYONS, IN 47443
Dentist
147 E BROAD ST
LYONS, IN 47443

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134615347, enumerated as an "organization" on July 11, 2018.

The provider is located at 147 E BROAD ST LYONS, IN 47443 and the phone number is (812) 659-2111.

Dentist with taxonomy code 122300000X.