Individual provider · Type 1 NPI

Jessica Tanya Greene

Dental Therapist · Kingston, WA

NPI number 1982584595 Active

Practice location

32020 Little Boston Rd NE
Kingston, WA 98346-9734

Specialties and licenses

TaxonomyCodeLicense
Dental Therapist Primary 125J00000X25-0001-DHAT (WA)

Dental Therapist: A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therap…

10 other providers at this address

About NPI 1982584595

Jessica Tanya Greene's National Provider Identifier is 1982584595, issued on Sep 4, 2025. The primary taxonomy on file is Dental Therapist (125J00000X), and the practice location is in Kingston, WA. The record was last updated on Sep 4, 2025.