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DR. IVAN L GREEN
NPI 1053615831
Dentist - General Practice in Roseville, MI

Active since January 07, 2011
19551 E 10 MILE RD, ROSEVILLE, MI 48066(586) 775-6770 Get Directions Write a Review

NPPES record last updated: January 7, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ivan L Green NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. IVAN L GREEN (NPI 1053615831) is an individual general practice provider in Roseville, Michigan, licensed in Michigan (2901009700) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1053615831
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. IVAN L GREEN
Location Address19551 E 10 MILE RDRoseville, MI 48066-3998
Mailing Address29961 Northbrook StFarmington Hills, MI 48334-2328 · (248) 797-7795
Phone(586) 775-6770
Sole ProprietorYes
Enumeration DateJanuary 7, 2011
✔ NPI 1053615831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MI · 2901009700
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.
19551 E 10 MILE RD, Roseville, MI 48066
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REVIVE PHYSICIAN WOUNDCARE SPECIALISTS PLLC
Internal Medicine
19551 E 10 MILE RD
ROSEVILLE, MI 48066
Macomb County (313) 717-8738
MARTIN E. GUYER D.D.S. PROFESSIONAL CORPORATION
Dentist (General Practice)
19551 E 10 MILE RD
ROSEVILLE, MI 48066
Macomb County (586) 775-6770

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivan Green's NPI number?

The NPI number for Ivan Green is 1053615831. It was assigned to this individual provider in the NPPES registry on January 7, 2011.

Where is Ivan Green located?

Ivan Green practices at 19551 E 10 Mile Rd, Roseville, MI 48066. The listed phone number is (586) 775-6770.

What is Ivan Green's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Ivan Green accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Guardian and Humana list Ivan Green as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ivan Green was last updated on January 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.