LAWRENCE KELTS GREEN DDS NPI 1053422162

NPI Information

  • NPI: 1053422162
  • Provider Name: LAWRENCE KELTS GREEN, DDS
  • Classification: Dentist - 1223P0700X
  • Specialization: Prosthodontics
  • Entity Type: Individual
  • Address: 7101 HOFF ST BLDG 9240
    USA DENTAL ACTIVITY
    FORT BENNING, GA
    ZIP 31905
  • Phone: (706) 544-4530

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NPI Details

Lawrence Kelts Green, DDS is a prosthodontics dentist in Fort Benning, GA. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. Lawrence Kelts Green, DDS NPI is 1053422162. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7101 HOFF ST BLDG 9240
USA DENTAL ACTIVITY
FORT BENNING, GA
ZIP 31905-645
Phone: (706) 544-4530
Fax: (706) 544-1933

The enumeration date for this NPI number is 8/31/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentist28930CALIFORNIANo
21223P0700XDentistProsthodontics28930CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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