Individual
KRISTEN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2926 PROFESSIONAL PKWY, AUGUSTA, GA 30907-6530
(706) 860-0575
Mailing address
2926 PROFESSIONAL PKWY, AUGUSTA, GA 30907-6530
(706) 860-0575
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015669
GA
Other
Enumeration date
06/15/2018
Last updated
07/24/2026
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