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Dr. Ivan L Green
General Practice Dentistry in Roseville, Michigan
NPI 1053615831

Ivan L Green is a General Practice Dentistry based in Farmington Hills, MI and is specialized in General Practice. Ivan L Green practices in Roseville, MI. The NPI Number for Ivan L Green is 1053615831 and holds a License No. 2901009700 (Michigan).

The current practice location address for Ivan L Green is 19551 E 10 Mile Rd, Roseville, MI and can be reached out via phone at 586-775-6770.

Location: 19551 E 10 Mile Rd, Roseville, MI, 48334-2328
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053615831
Provider Name
Ivan L Green
Credential
Provider Entity Type
Individual
Gender
Male
Address
19551 E 10 Mile Rd, Roseville, MI, 48334-2328
Phone Number
586-775-6770
Fax Number
Provider Enumeration Date
01/07/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
19551 E 10 Mile Rd
City
Roseville
State
Michigan
Zip
48066-3998
Phone Number
586-775-6770
Fax Number
person
Provider Business Mailing Address Details
Address
19551 E 10 Mile Rd
City
Roseville
State
Michigan
Zip
48066-3998
Phone Number
586-775-6770
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
2901009700 (Michigan)
Definition
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.
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