Kristin Dyan Green, D.D.S.

Dentist · Neosho, MO

Individual Active NPI

NPI number 1356579080

Practice location

2209 Oak Ridge Dr
Neosho, MO 64850-9092
Phone
(417) 451-0977
Fax
(417) 451-0977

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NPI record

NPI
1356579080
Entity type
Individual (Type 1)
Enumeration date
July 1, 2009
Last updated
October 25, 2024
Certified
October 22, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 2014015540 MO
General Practice Dentistry 1223G0001X 3730 AR

Mailing address

PO Box 758
Neosho, MO 64850-0758
Phone
(417) 451-9450
Fax
(417) 451-8903

About Dr. Green

Kristin Dyan Green, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2209 Oak Ridge Dr, Neosho, MO 64850-9092. The NPI number 1356579080 was assigned on July 1, 2009 and the record was last updated on October 25, 2024.

Dr. Green lists 2 licenses in the registry: #2014015540 (MO) for Dentist; #3730 (AR) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kristin Dyan Green, D.D.S.?

The NPI number is 1356579080.

What is the phone number of Dr. Green?

The phone number listed for the practice location is (417) 451-0977.

Where is Dr. Green located?

2209 Oak Ridge Dr, Neosho, MO 64850-9092.

What is the taxonomy code for Dr. Green?

The primary taxonomy code is 122300000X – Dentist; 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.

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