| Steven M Green D D S P C | |
|
4745 Statesmen Dr Ste A Indianapolis IN 46250-5649 | |
| (317) 482-7900 | |
| (317) 792-8588 |
| Full Name | Steven M Green D D S P C |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4745 Statesmen Dr Ste A, Indianapolis, Indiana |
| Authorized Official Name and Position | Steven Michael Green (PRESIDENT) |
| Authorized Official Contact | 3174827900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven M Green D D S P C 4745 Statesmen Dr Ste A Indianapolis IN 46250-5649 Ph: (317) 482-7900 | Steven M Green D D S P C 4745 Statesmen Dr Ste A Indianapolis IN 46250-5649 Ph: (317) 482-7900 |
| NPI Number | 1467578344 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 10/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467578344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8575 (Indiana) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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