IndividualActive
Kristen Green, DMD
NPI 1043704828 · General Practice Dentistry · Gray, GA
Provider details
- NPI number
- 1043704828
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- License
- DN015669 (GA)
Specialties & taxonomies
Dental Providers
Practice location
242 W Clinton St
Gray, GA 31032-5430
Phone: (478) 986-6821
Approximate (ZIP-level) locationGet directions
Mailing address
212 Chatham Rd
Augusta, GA 30907-3708
Registry dates
- Enumerated
- 2018-06-15
- Last updated
- 2018-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.