Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kourtenay V Green, DDS

Individual provider General Practice Dentistry · NPI 1811049091

Dr. Kourtenay V Green, DDS is a General Practice Dentistry in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

3535 S Jefferson Ave
Saint Louis, MO 63118-3930
Phone: (314) 268-6135
Fax: (314) 268-6117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2004013239 (MO)

Record details

NPI number1811049091
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedJanuary 17, 2007
Last updated in NPPESJuly 9, 2007

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