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DR. KOURTENAY V GREEN D.D.S.
NPI 1811049091
Dentist - General Practice in Saint Louis, MO

Active since January 17, 2007
3535 S JEFFERSON AVE, SAINT LOUIS, MO 63118(314) 268-6135(314) 268-6117 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kourtenay V Green D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KOURTENAY V GREEN D.D.S. (NPI 1811049091) is an individual general practice provider in Saint Louis, Missouri, licensed in Missouri (2004013239) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1811049091
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KOURTENAY V GREENCredential: D.D.S.
Location Address3535 S JEFFERSON AVESaint Louis, MO 63118-3930
Mailing Address5920 Park LnSaint Louis, MO 63147-1116 · (314) 869-6900
Phone(314) 268-6135
Fax(314) 268-6117
Sole ProprietorYes
Enumeration DateJanuary 17, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1811049091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MO · 2004013239
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3535 S JEFFERSON AVE, Saint Louis, MO 63118
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINE ANNE VUKOMANOVIC
Pharmacist
3535 S JEFFERSON AVE
SAINT LOUIS, MO 63118
St. Louis City (314) 645-9990
DR. GURPRAKASH SINGH GREWAL M.D.
Family Medicine
3535 S JEFFERSON AVE, SUITE 314
SAINT LOUIS, MO 63118
St. Louis City (314) 772-5070
DR. DANG HAI DO D.P.M.
Podiatrist (Foot Surgery)
3535 S JEFFERSON AVE, SUITE 201
SAINT LOUIS, MO 63118
St. Louis City (314) 577-5778
CAROL D BLACKSHER APRN BC
Nurse Practitioner
3535 S JEFFERSON AVE, SUITE 118
SAINT LOUIS, MO 63118
St. Louis City (314) 776-7999
MUDASIR ASIF M.D.
Psychiatry & Neurology (Psychiatry)
3535 S JEFFERSON AVE, STE 118
SAINT LOUIS, MO 63118
St. Louis City (314) 776-7999
DR. RICKY STUART MOFSEN D.O.
Psychiatry & Neurology (Psychiatry)
3535 S JEFFERSON AVE, SUITE 104
SAINT LOUIS, MO 63118
St. Louis City (314) 776-7999
JAY MAHADEVAN INC
Internal Medicine
3535 S JEFFERSON AVE, SUITE 304
ST LOUIS, MO 63118
St. Louis City (314) 865-6585
ST LOUIS SURGICAL DOCTORS GROUP LLC
Specialist
3535 S JEFFERSON AVE, SUITE 201
SAINT LOUIS, MO 63118
St. Louis City (314) 577-5778

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kourtenay Green's NPI number?

The NPI number for Kourtenay Green is 1811049091. It was assigned to this individual provider in the NPPES registry on January 17, 2007.

Where is Kourtenay Green located?

Kourtenay Green practices at 3535 S Jefferson Ave, Saint Louis, MO 63118. The listed phone number is (314) 268-6135.

What is Kourtenay Green's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Kourtenay Green was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.