NPI 1982584595

Jessica Tanya Greene

Practitioner Dental Therapist Kingston, WA

Practice location

Address: 32020 Little Boston Rd NE, Kingston, WA 98346-9734
Phone: (360) 297-2840

Registered specialties

Dental Therapist Primary

Dental Providers Taxonomy 125J00000X Licence 25-0001-DHAT (WA)

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Registry record

NPI: 1982584595
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Sep 2025
Record last updated: 4 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.