MEDICARE: LINDLEY GREENE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	124Q00000X	Dental Hygienist	DH.002025079	CO

General Provider Information

NPI Number	:	1780514315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDLEY GREENE

Provider Business Mailing Address
First Line	:	2519 S SHIELDS ST STE 1K
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80526-1855
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2133 S TIMBERLINE RD
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-4395
Country	:	US
Telephone Number	:	970-221-2499
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2026
Last Update Date	:	05/25/2026

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Directions to “ LINDLEY GREENE ” Practice Location

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