# KALLEB A. GREENE FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972024115
- **Authorized official:** DR. KALLEB ANDERSON GREENE DMD (OWNER/DENTIST)
- **Authorized official phone:** (270) 885-6137

## Contact information

- **Practice address:** 318 COOL WATER CT STE A, HOPKINSVILLE, KY 42240-8781
- **Practice address phone:** (270) 885-6137
- **Mailing address:** 542 NOEL AVE, HOPKINSVILLE, KY 42240-1386
- **Mailing address phone:** (270) 885-6137

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 9989 | KY | Yes |

## Other

- **Enumeration date:** 06/28/2017
- **Last updated:** 01/17/2023