Individual
KEIRA VALE GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8636 N WAYNE DR, HAYDEN, ID 83835-5084
(303) 810-9296
Mailing address
9323 N GOVERNMENT WAY STE 44, HAYDEN, ID 83835-8256
(303) 810-9296
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-4879
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D-4879
DENTAL LICENSE
ID
Enumeration date
06/14/2007
Last updated
09/30/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us