IndividualActive
Kristin Green, D.D.S.
NPI 1356579080 · Dentist · Neosho, MO
Provider details
- NPI number
- 1356579080
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.D.S.
- Sex
- Female
- Sole proprietor
- No
- License
- 2014015540 (MO)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2209 Oak Ridge Dr
Neosho, MO 64850-9092
Phone: (417) 451-0977
Fax: (417) 451-0977
Street-level locationGet directions
Mailing address
Po Box 758
Neosho, MO 64850-0758
Registry dates
- Enumerated
- 2009-07-01
- Last updated
- 2024-10-25
- Certified
- 2024-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.