location
search-icon
person
Dr. Mark Raymond Green, DDS
General Practice Dentistry in South Bend, Indiana
NPI 1841209962

Mark Raymond Green is a General Practice Dentistry based in South Bend, IN and is specialized in General Practice. Mark Raymond Green practices in South Bend, IN and has the professional credentials of DDS. The NPI Number for Mark Raymond Green is 1841209962 and holds a License No. 12008310 (Indiana).

The current practice location address for Mark Raymond Green is 2201 Lincoln Way West, South Bend, IN and can be reached out via phone at 574-232-4990 and via fax at 574-232-2470.

Location: 2201 Lincoln Way West, South Bend, IN, 46628-2513
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841209962
Provider Name
Mark Raymond Green
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2201 Lincoln Way West, South Bend, IN, 46628-2513
Phone Number
574-232-4990
Fax Number
574-232-2470
Provider Enumeration Date
08/07/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2201 Lincoln Way West
City
South Bend
State
Indiana
Zip
46628-2513
Phone Number
574-232-4990
Fax Number
574-232-2470
person
Provider Business Mailing Address Details
Address
2201 Lincoln Way West
City
South Bend
State
Indiana
Zip
46628-2513
Phone Number
574-232-4990
Fax Number
574-232-2470
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
12008310 (Indiana)
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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.