GREEN DENTAL LAB, INC.; NPI #1659727469

Contact Information

GREEN DENTAL LAB, INC.

1099 WILBURN RD
HEBER SPRINGS, AR 72543-8905

Phone: 501-362-3132
Fax: 501-362-4717
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Dental Laboratory	292200000X

Indicates primary specialty

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NPI Profile & details for GREEN DENTAL LAB, INC.

NPI Number 1659727469

LBN Legal business name GREEN DENTAL LAB, INC.

Authorized official KIMBERLY THOMAS - (LAB PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/11/2016

Last updated 05/11/2016 - About 10 years ago

Identifiers

AR	License #	123277-00
AR	Medicaid	178993739

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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GREEN DENTAL LAB, INC.

Contact Information

Specialty

Dental Laboratory

NPI Profile & details for GREEN DENTAL LAB, INC.

Reviews for GREEN DENTAL LAB, INC.