| Green Dental Of Owen County | |
|
51 N Main St Spencer IN 47460-1311 | |
| (812) 829-2261 | |
| (812) 829-2263 |
| Full Name | Green Dental Of Owen County |
|---|---|
| Speciality | Dentist |
| Location | 51 N Main St, Spencer, Indiana |
| Authorized Official Name and Position | Brooks Andrew Green (OWNER/DENTIST) |
| Authorized Official Contact | 8128292261 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Dental Of Owen County 51 N Main St Spencer IN 47460-1311 Ph: (812) 829-2261 | Green Dental Of Owen County 51 N Main St Spencer IN 47460-1311 Ph: (812) 829-2261 |
| NPI Number | 1689107559 |
|---|---|
| Provider Enumeration Date | 04/07/2017 |
| Last Update Date | 04/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689107559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12012283A (Indiana) | Primary |
William D Kenfield Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 77 Fairview Ave, Spencer, IN 47460 Phone: 812-829-4886 Fax: 812-829-4686 | |
Kenfield Dental Group Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 77 Fairview Ave, Spencer, IN 47460 Phone: 812-829-4886 |