Larry P. Green Dds Inc., Pc | |
102 N Egan Ave Madison SD 57042-2909 | |
(605) 256-4969 | |
(605) 256-4717 |
Full Name | Larry P. Green Dds Inc., Pc |
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Speciality | Dentist |
Location | 102 N Egan Ave, Madison, South Dakota |
Authorized Official Name and Position | Larry Paul Green (DENTIST) |
Authorized Official Contact | 6052564969 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Larry P. Green Dds Inc., Pc Po Box 243 Madison SD 57042-0243 Ph: (605) 256-4969 | Larry P. Green Dds Inc., Pc 102 N Egan Ave Madison SD 57042-2909 Ph: (605) 256-4969 |
NPI Number | 1760179519 |
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Provider Enumeration Date | 04/21/2023 |
Last Update Date | 05/15/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760179519 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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