Kiley Green, DDS

General Practice Dentistry · Fredonia, KS

Individual Active NPI

NPI number 1689359499

Practice location

428 N 7TH St
Fredonia, KS 66736-1315
Phone
(620) 378-2001
Fax
(620) 378-4697

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NPI record

NPI
1689359499
Entity type
Individual (Type 1)
Enumeration date
June 19, 2023
Last updated
March 23, 2026
Certified
March 23, 2026
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 62126 KS

About Dr. Green

Kiley Green, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 428 N 7TH St, Fredonia, KS 66736-1315. The NPI number 1689359499 was assigned on June 19, 2023 and the record was last updated on March 23, 2026.

Dr. Green lists a license in the registry: #62126 (KS) 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 Kiley Green, DDS?

The NPI number is 1689359499.

What is the phone number of Dr. Green?

The phone number listed for the practice location is (620) 378-2001.

Where is Dr. Green located?

428 N 7TH St, Fredonia, KS 66736-1315.

What is the taxonomy code for Dr. Green?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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