DR. MARK RAYMOND GREEN (NPI# 1841209962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841209962 |
| Entity Type | Individual |
| Full Name | DR. MARK RAYMOND GREEN |
| Credential | D.D.S. |
| Practice Address |
2201 Lincoln Way West South Bend IN 46628-2513 |
| Mailing Address |
2201 Lincoln Way W South Bend IN 46628-2513 |
| Practice Telephone | 5742324990 |
| Practice Fax Number | 5742322470 |
| Mailing Telephone | 5742324990 |
| Mailing Fax Number | 5742322470 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12008310 | IN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902342165 | Mark Green | Specialist/Technologist | 339 Nacoochee Dr, Rabun Gap, GA 30568-2200 | 2017-01-12 |
| 1215293261 | Mark S Green | Pharmacist | 923 W Central Park Ave, Davenport, IA 52804-1802 | 2012-04-04 |
| 1811123862 | Mark Ryan Green | Physical Therapist | 29185 Highway 191, Many, LA 71449-6313 | 2009-06-04 |
| 1770785925 | Mark Daniel Green | Dentist | 415 1st St E, Humble, TX 77338-4602 | 2007-06-01 |
| 1386760981 | Mark R Green | Dentist | 108 Vail St, Middlesex, NJ 08846-1943 | 2007-03-22 |
| 1609968544 | Mark Allen Green | Chiropractor | 2137 Dixie Hwy, Louisville, KY 40210-2242 | 2006-09-28 |
| 1154395044 | Mark Ellison Green | Internal Medicine | 370 Bmh Physicians Office Bldg, Maryville, TN 37804-5819 | 2006-02-15 |
| 1396736336 | Mark S Green | Physician Assistant | 10040 Two Notch Rd, Columbia, SC 29223-4396 | 2005-10-31 |
| 1083162424 | Mark Green | Pharmacist | 731 Cherry Dr, Hershey, PA 17033-2099 | 2016-09-14 |
| 1033589569 | Mark Stephen Green | Psychologist | 9415 E Harry St, Suite 703, Wichita, KS 67207-5089 | 2015-09-26 |
| Street Address |
2201 LINCOLN WAY WEST |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46628-2513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700419249 | Mahogany Maternity | Doula | 22500 Lincoln Way West, South Bend, IN 46628 | 2020-02-12 |
| 1093126120 | Julie Collier | Pharmacist | 3600 Northportage Road, South Bend, IN 46628 | 2014-05-12 |
| 1588075717 | J Curylo | Pharmacist | 3600 N Portage Rd, South Bend, IN 46628 | 2014-05-09 |
| 1609287986 | Thomas Daniels | Pharmacist | 3600 North Portage Rd., South Bend, IN 46628 | 2014-05-08 |
| 1639467277 | United Seating and Mobility LLC | Durable Medical Equipment & Medical Supplies | 3371 Cleveland Rd Ste 310, South Bend, IN 46628 | 2011-07-18 |
| 1497891014 | Danielle Colleen Luten | Homemaker | 1830 N Brookfield, South Bend, IN 46628 | 2007-01-30 |
| 1700885498 | Stephen D Kennedy | Family Medicine | 5838 W Brick Rd Ste 106, South Bend, IN 46628 | 2005-07-15 |
| 1205440666 | Kristin Lynette Stringer | Registered Nurse | 53174 Flowing Stream Ct, South Bend, IN 46628 | 2020-09-03 |
| 1033489844 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 3600 Portage Rd, South Bend, IN 46628 | 2012-01-10 |
| 1467687277 | Leah Diane Craft | Family Medicine | 2235 Cleveland Rd, South Bend, IN 46628 | 2009-05-22 |
| Find all providers in zip 46628 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871116673 | Chelsea Ann Myers | Dentist | 206 W Ireland Rd, South Bend, IN 46614-2506 | 2020-05-27 |
| 1437644549 | Modupe Mary Ogunnusi Sofuye | Dentist | 1290 E Ireland Rd, South Bend, IN 46614-3474 | 2018-06-30 |
| 1508020066 | Gerald Warrell | Dentist | 2314 Miami St, South Bend, IN 46614-1336 | 2008-07-14 |
| 1619144672 | James Alvin Douglas | Dentist | 820 E Colfax Ave, South Bend, IN 46617-2804 | 2008-05-09 |
| 1962670208 | Paul Michael Mcleod | Dentist | 919 E Jefferson Blvd Ste Ll02, South Bend, IN 46617-3119 | 2008-02-20 |
| 1447428248 | Daniel Frederick Lindborg | Dentist | 52303 Emmons Road, Suite 17, South Bend, IN 46637-4294 | 2008-02-14 |
| 1275701369 | Geoffrey A. Klopenstine Dds PC | Dentist | 51584 Us Highway 33, South Bend, IN 46637-1704 | 2008-02-12 |
| 1659581007 | Philip Paul Hulecki | Dentist | 3608 Pleasant St, South Bend, IN 46615-2033 | 2007-05-23 |
| 1891917282 | Lifetime Dental Careof Indiana, PC | Dentist | 1605 North Ironwood, South Bend, IN 46635 | 2007-05-03 |
| 1780704247 | Douglas John Kosek | Dentist | 413 W Jefferson Blvd, South Bend, IN 46601-1514 | 2007-03-29 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46628 |
Please comment or provide details below to improve the information on DR. MARK RAYMOND GREEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.