Lawrence Kelts Green, DDS

Prosthodontics · Fort Benning, GA

Individual Active NPI

NPI number 1053422162

Practice location

7101 Hoff St Bldg 9240
USA Dental Activity
Fort Benning, GA 31905-5645
Phone
(706) 544-4530
Fax
(706) 544-1933

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NPI record

NPI
1053422162
Entity type
Individual (Type 1)
Enumeration date
August 31, 2006
Last updated
September 11, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Prosthodontics Primary 1223P0700X 28930 CA
Dentist 122300000X 28930 CA

About Dr. Green

Lawrence Kelts Green, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Prosthodontics (code 1223P0700X). The practice location is 7101 Hoff St Bldg 9240, USA Dental Activity, Fort Benning, GA 31905-5645. The NPI number 1053422162 was assigned on August 31, 2006 and the record was last updated on September 11, 2025.

Dr. Green lists 2 licenses in the registry: #28930 (CA) for Prosthodontics; #28930 (CA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lawrence Kelts Green, DDS?

The NPI number is 1053422162.

What is the phone number of Dr. Green?

The phone number listed for the practice location is (706) 544-4530.

Where is Dr. Green located?

7101 Hoff St Bldg 9240, USA Dental Activity, Fort Benning, GA 31905-5645.

What is the taxonomy code for Dr. Green?

The primary taxonomy code is 1223P0700X – Prosthodontics; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.