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Contact Information

KEIRA V GREENE, DDS
8636 N WAYNE DR
HAYDEN, ID83835-5084
 Phone: 303-810-9296
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for KEIRA V GREENE · (Female)

NPI # 1164626883
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 06/14/2007
Last updated 09/30/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • ID License # D-4879
  • ID Other D-4879 DENTAL LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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