David Keith Greene Jr., DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

KY 6218 Issued in KY

Practice address

318 Cool Water CT Ste B
Hopkinsville, KY 42240-1975

Phone

(270) 885-5724

Fax

(270) 885-3354

NPI assigned

Aug 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1477566867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 COOL WATER CT STE B",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401975",
            "telephone_number": "270-885-5724",
            "fax_number": "270-885-3354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 COOL WATER CT STE B",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401975",
            "telephone_number": "270-885-5724",
            "fax_number": "270-885-3354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "DAVID",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2023-03-07",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "KY 6218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY DENTAL LICENSE",
            "identifier": "KY6218",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whitney S Gray
• Sharita Monique Graydon
• Vicente Grayman
• Laquisha Shante Green
• Sherri Bonchele Green, LPC-A
• Judy A. Greene, P.T.
• Kalleb Anderson Greene, DMD
• Vanessa Greene
• Sierra Greenwade
• Katherine Chandler Greenwell

• General Practice Dentistry in Hopkinsville, KY
• Providers in Hopkinsville, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.