| Greene Endodontics, Llc | |
|
3811 Fairview Dr Anderson IN 46013-4059 | |
| (765) 649-1277 | |
| (765) 357-9121 |
| Full Name | Greene Endodontics, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3811 Fairview Dr, Anderson, Indiana |
| Authorized Official Name and Position | Ryan Joseph Greene (OWNER) |
| Authorized Official Contact | 7656491277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greene Endodontics, Llc 3811 Fairview Dr Anderson IN 46013-4059 Ph: (765) 649-1277 | Greene Endodontics, Llc 3811 Fairview Dr Anderson IN 46013-4059 Ph: (765) 649-1277 |
| NPI Number | 1821562307 |
|---|---|
| Provider Enumeration Date | 01/17/2019 |
| Last Update Date | 01/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821562307 | NPI | - | NPPES |
| 300013383 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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