Doctor profile · Federal record
Dr. Gordon Green, DDS
General Practice Dentistry · Lyons, IN
- NPI 1265450464
- 20 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
147 E Broad St
Lyons, IN 474439502
(812) 659-2111
fax (812) 659-2808 - Mailing address
-
P O Box 501, 147 East Broad St
Lyons, IN 474439502
Credentials & registration
- NPI registered
- July 2006 — 20 yrs on file
- Profile last updated
- December 17, 2010
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- Indiana #7342
- Medicaid
- IN #100124690A
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1265450464. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$3
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Sonendo Inc | 1 | $2.57 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
39
Patients
25
Total drug cost
$188
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Ibuprofen | Generic | 15 | 14 | $33 |
| Azithromycin | Generic | 13 | 11 | $74 |
| Penicillin V Potassium | Generic | 11 | 0 | $81 |
Frequently asked questions
What is Dr. Gordon Green's medical specialty?
Dr. Gordon Green practices General Practice Dentistry in Lyons, IN.
Where does Dr. Gordon Green practice?
Dr. Gordon Green practices at 147 E Broad St, Lyons, IN 474439502. Office phone: 8126592111.
What is Dr. Gordon Green's NPI?
Dr. Gordon Green's National Provider Identifier (NPI) is 1265450464, issued by NPPES.