Dr. Kristin Dyan Green is a Poplar Bluff, Missouri based Dentist who is specialized in General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Kristin Dyan Green is 2014015540 for Dentistry in Missouri. Her current practice location is 1407 N Westwood Blvd, Poplar Bluff. Patients can reach her at 573-778-3042.
Dr. Kristin Dyan Green is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Kristin Dyan Green speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Kristin Dyan Green
Specialization:
Dentist
Gender:
Female
Credentials:
D.D.S.
Accepts Medicare Assignment:
No
Practice Address:
1407 N Westwood Blvd, Poplar Bluff, Missouri, 63901-3315
Phone:
573-778-3042
Fax:
573-778-9432
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1356579080
NPI Enumeration Date:
01 Jul, 2009
NPI Last Update On:
20 Oct, 2016
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kristin Dyan Green are as mentioned below.
License Number
Specialization
State
Status
2014015540
Dentistry
Missouri
Primary
3730
General Practice Dentistry
Arkansas
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kristin Dyan Green such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
180656608
Medicaid
Arkansas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1407 N Westwood Blvd, Poplar Bluff, Missouri
Zip:
63901-3315
Phone Number:
573-778-3042
Fax Number:
573-778-9432
Patients can reach Dr. Kristin Dyan Green at 1407 N Westwood Blvd, Poplar Bluff, Missouri or can call to book an appointment on 573-778-3042. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.