Lisa A Greene, RDH
Individual provider Active NPI Dental Hygienist · Waveland, IN
NPI 1669964581 · NPPES record last updated Jun 6, 2018
Key facts
- NPI
- 1669964581
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 13002837A (IN)
- Practice address
- Conservative Dental Solutions
101 N Cross Street
Waveland, IN 47989 - Phone
- (765) 435-2380
- Fax
- (765) 435-2382
- NPI assigned
- Jun 6, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13002837A | IN | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 13002837A | IN | Yes |
Addresses
Primary practice location
Conservative Dental Solutions
101 N Cross Street
Waveland, IN 47989
Mailing address
Conservative Dental Solutions
101 N Cross Street
Waveland, IN 47989
Phone (765) 435-2380
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.