Individual
DR. JEFFREY I GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
326 WASHINGTON AVE, KINGSTON, NY 12401-4454
(845) 338-7733
(845) 338-6409
Mailing address
PO BOX 4485, KINGSTON, NY 12402-4485
(845) 338-7733
(845) 338-6409
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
030172
NY
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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