Kristen Green, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN015669 Issued in GA

Practice address

2926 Professional Pkwy
Augusta, GA 30907-6530

Phone

(706) 860-0575

NPI assigned

Jun 15, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gray Dental Associates

  • General Practice Dentistry
  • Gray, GA
  • NPI 1033120381
  NPD (past)
• Gray Dental Associates, P.C.

  • General Practice Dentistry
  • Gray, GA
  • NPI 1770876781
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1043704828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2926 PROFESSIONAL PKWY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309076530",
            "telephone_number": "706-860-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2926 PROFESSIONAL PKWY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309076530",
            "telephone_number": "706-860-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "KRISTEN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-15",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Green Family Dental, LLC
• Akira Green
• Candace L Green, IBCLC
• Charles Gray Green Jr., M.D.
• Kendall Nichole Green, NP
• Margaret O Green, MD
• Mary Fisher Green, PA-C
• Michael Franklin Green, MD
• Nykia Green
• Shannon Green, LPN

• General Practice Dentistry in Augusta, GA
• Providers in Augusta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.