DR. KRISTIN DYAN GREEN (NPI# 1356579080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356579080 |
| Entity Type | Individual |
| Full Name | DR. KRISTIN DYAN GREEN |
| Credential | D.D.S. |
| Practice Address |
1407 N Westwood Blvd Poplar Bluff MO 63901-3315 |
| Practice Telephone | 5737783042 |
| Practice Fax Number | 5737789432 |
| Mailing Telephone | 5737783042 |
| Mailing Fax Number | 5737789432 |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2016-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2014015540 | MO | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
3730 | AR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 180656608 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568836450 | Kristin Green | Speech-Language Pathologist | 695 Town Center Dr Ste 700, Costa Mesa, CA 92626 | 2015-11-16 |
| 1457580292 | Kristin Green | Social Worker | 350 Ely Pl, Palo Alto, CA 94306-4559 | 2009-07-14 |
| 1871784090 | Kristin Kymyana Green | Obstetrics & Gynecology | 5646 Read Blvd Ste 280, New Orleans, LA 70127 | 2007-08-05 |
| 1639561947 | Kristin Green | Midwife, Lay | 902 E Pinecrest Dr, Marshall, TX 75670-7310 | 2015-02-23 |
| 1518306711 | Kristin Leigh Green | Counselor | 601 Foote St, Corinth, MS 38834-4834 | 2013-06-20 |
| 1093000994 | Kristin Loup Green | Physician Assistant | 10154 Jefferson Hwy, Baton Rouge, LA 70809-2725 | 2011-06-20 |
| 1033416292 | Kristin Angela Vasquez Green | Counselor | 8775 Aero Dr Ste 238, San Diego, CA 92123 | 2011-02-23 |
| 1760613855 | Kristin Gohl Green | Counselor | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2009-08-06 |
| 1740434786 | Kristin L Green | Pharmacist | 15 Commonwealth Ave, Woburn, MA 01801-5193 | 2008-11-04 |
| 1669676912 | Kristin Kathleen Green | Physical Therapist | 2740 South Ave W Ste 101, Missoula, MT 59804-5137 | 2007-06-12 |
| Street Address |
1407 N WESTWOOD BLVD |
| City | POPLAR BLUFF |
| State | MO |
| Zip Code | 63901-3315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588777577 | Margaret Rose Mcmillan | Dentist | 1407 N Westwood Blvd, Poplar Bluff, MO 63901-3315 | 2006-08-16 |
| 1932622339 | Kristen M Alexander | Dentist | 1407 N Westwood Blvd, Poplar Bluff, MO 63901-3315 | 2017-07-18 |
| 1811428402 | Big Springs Medical Association | Clinic/Center | 1407 N Westwood Blvd, Poplar Bluff, MO 63901-3315 | 2017-03-24 |
| 1376994525 | Holly Cavness | Dental Hygienist | 1407 N Westwood Blvd, Poplar Bluff, MO 63901-3315 | 2016-06-29 |
| 1871983601 | Natalie Jamyle Bell | Dental Hygienist | 1407 N Westwood Blvd, Poplar Bluff, MO 63901-3315 | 2015-02-02 |
| 1295820348 | Big Springs Medical Association | Clinic/Center | 1407 N Westwood Blvd, Poplar Bluff, MO 63901-3315 | 2006-10-04 |
| 1265527352 | Gene Ray Wilson | Dentist | 1407 N Westwood Blvd, Poplar Bluff, MO 63901-0157 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
| 1285271239 | Front Door Wellness LLC | Physical Therapist | Front Door Wellness LLC, 5835 Quail Meadows Drive, Poplar Bluff, MO 63901 | 2019-12-09 |
| 1104470368 | Andrew Akindutire | Dentist | 3101 Oak Groove Rd., Suite 6, Poplar Bluff, MO 63901 | 2019-07-26 |
| 1780195966 | Midwest Equipment Srv Systems LLC | Technician, Pathology | 2400 Lucy Lee Parkway, Suite C, Poplar Bluff, MO 63901 | 2017-10-16 |
| 1801259387 | Richard Justin Huber | Technician, Other | 3005 Warrior Ln, Poplar Bluff, MO 63901 | 2016-04-01 |
| 1699136275 | Donja Kirkland | Recreation Therapist | 1910a Greenwood Dr., Suite D, Poplar Bluff, MO 63901 | 2016-03-10 |
| 1760866867 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 3050 Tucker Road, Poplar Bluff, MO 63901 | 2015-07-17 |
| 1407246390 | Lisa Marie Payne | Physical Therapist | 4358c Highway Pp, Poplar Bluff, MO 63901 | 2015-01-29 |
| 1700202488 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1602 W. Harper Street, Poplar Bluff, MO 63901 | 2014-03-05 |
| 1932521648 | Essential Family Healthcare, LLC | Clinic/Center | 1369 North Westwood Blvd., Poplar Bluff, MO 63901 | 2014-01-15 |
| Find all providers in zip 63901 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124342803 | Daniel Jackson | Dentist | 821 W Pine St, Poplar Bluff, MO 63901-4956 | 2010-03-24 |
| 1861646960 | Robert Rowland, Dmd, PC | Dentist | 1611a Lurlyn Dr, Poplar Bluff, MO 63901-2763 | 2008-11-17 |
| 1568623262 | Reeca Daves | Dentist | 2951 Kanell Blvd, Poplar Bluff, MO 63901-4008 | 2008-06-24 |
| 1356538110 | Gary D Ormsby | Dentist | 604 Vine St, Poplar Bluff, MO 63901-5039 | 2007-09-26 |
| 1962600957 | Bobby Joe Ormsby | Dentist | 600 Vine St, Poplar Bluff, MO 63901 | 2007-07-11 |
| 1477651024 | David Eric Robertson Brown | Dentist | 603 Poplar St, Poplar Bluff, MO 63901-5723 | 2006-09-20 |
| 1588777577 | Margaret Rose Mcmillan | Dentist | 1407 N Westwood Blvd, Poplar Bluff, MO 63901-3315 | 2006-08-16 |
| 1710933353 | Randal L. Hillis | Dentist | 1600 West Harper Street, Poplar Bluff, MO 63901-4119 | 2006-05-25 |
| 1053625343 | Eduard Shvartsberg | Dentist | 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 | 2010-07-29 |
| 1972767663 | Anthony Disalvo IIi | Dentist | 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 | 2008-07-11 |
| Find all providers in POPLAR BLUFF | ||||
| City | POPLAR BLUFF |
| Zip Code | 63901 |
Please comment or provide details below to improve the information on DR. KRISTIN DYAN GREEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.