National Provider Identifier Database

GREEN DENTAL LAB INC
Dental Laboratory

A commercial laboratory specializing in the construction of dental appliances that conform to a dentist?s specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays.


Contact Information

GREEN DENTAL LAB, INC.
1099 WILBURN RD
HEBER SPRINGS, AR72543-8905
Phone: 501-362-3132
Fax: 501-362-4717
Website:
Specialty Taxonomy Code
* Dental Laboratory 292200000X

* Indicates primary specialty

NPI Profile & details for GREEN DENTAL LAB, INC.

NPI Number 1659727469
Legal business name
LBN
GREEN DENTAL LAB, INC.
Authorized official KIMBERLY THOMAS - (LAB PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 05/11/2016
Last updated 05/11/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • AR License #: 123277-00
  • AR Medicaid: 178993739

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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