Kevin Jeffrey Greene, D.D.S.

NPI #1093102055 in Madison, Wisconsin

Provider Information

NPI Number: 1093102055
Entity Type: Individual
Name: Kevin Jeffrey Greene, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Apr 16, 2015
Last Updated: Apr 6, 2021

Practice Location

Address: 6420 COTTAGE GROVE RD
City: Madison
State: Wisconsin
ZIP Code: 53718-6592
Phone: (608) 222-8080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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