Individual provider · Type 1 NPI

Kourtenay V. Green, DDS

General Practice Dentistry · St. Louis, MO

NPI number 1811049091 Active

Practice location

3535 S Jefferson Ave
St. Louis, MO 63118-3930

Call (314) 268-6135 Map

Fax (314) 268-6117

Mailing address

5920 Park Ln
St. Louis, MO 63147-1116

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X2004013239 (MO)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1811049091

Kourtenay V. Green, DDS's National Provider Identifier is 1811049091, issued on Jan 17, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in St. Louis, MO. The record was last updated on Jul 9, 2007.