Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689359499 Individual Practitioner Female Practitioner

Dr. Kiley Green , DDS

Dentist - General Practice • Fredonia, KS

Professional Overview & Biography Verified Profile Summary

Dr. Kiley Green, DDS is a registered healthcare professional specializing in Dentist - General Practice in Fredonia, KS. Practice services are available at 428 N 7TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

428 N 7th St

Fredonia, KS 667361315

Telephone 6203782001
Fax 6203784697

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Fredonia, KS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.8 Yrs
Regional Practice Density
2 Specialists

Practicing in Fredonia, KS (1140 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-03-23
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License KS 62126

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Ronald Cleverley , DDS, PA

Dentist - General Practice

NPI 1609856145

Doctor of Dental Surgery, Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location January 23, 2025

Registered at 428 N 7TH ST, FREDONIA, KS 667361315 (Tel: 6203782001)

📍
Updated Business Mailing Address January 23, 2025

Registered at 428 N 7TH ST, FREDONIA, KS 667361315 (Tel: 6203782001)

NPI Profile Active June 19, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location June 19, 2023

Registered at 109 W BUTLER ST, YATES CENTER, KS 667831259 (Tel: 6206252185)

📍
Updated Business Mailing Address June 19, 2023

Registered at 109 W BUTLER ST, YATES CENTER, KS 667831259 (Tel: 6206252185)

👤
Provider Name / Credentials Updated June 19, 2023

Recorded as KILEY GREEN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2023

Dentist (License #62126 in KS)

🟢
Initial NPI Registration & Enumeration June 19, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689359499
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 19, 2023
Last Update: March 23, 2026
Sole Proprietor: Yes

Mailing Address

428 N 7th St

Fredonia, KS 667361315

Phone: 6203782001

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.