DR. MARVIN GREENE D.D.S.
NPI 1669692372
Dentist - Oral and Maxillofacial Surgery in Chicago, IL

Active since April 26, 2007
2449 N LINCOLN AVE, CHICAGO, IL 60614(773) 327-2400(773) 327-4759 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Marvin Greene D.d.s. NPPES

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

DR. MARVIN GREENE D.D.S. (NPI 1669692372) is an individual oral and maxillofacial surgery provider in Chicago, Illinois and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1669692372
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. MARVIN GREENECredential: D.D.S.
Location Address2449 N LINCOLN AVEChicago, IL 60614-2414
Mailing Address220 Surrey LnLake Forest, IL 60045-3474 · (847) 295-6096
Fax(773) 327-4759
Sole ProprietorNo
Enumeration DateApril 26, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1669692372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

2449 N LINCOLN AVE, Chicago, IL 60614

Other Identifiers 1

Medicare UPIN94860IL

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Dentist (Oral and Maxillofacial Surgery)
2449 N LINCOLN AVE
CHICAGO, IL 60614
Clinic/Center (Ambulatory Surgical)
2449 N LINCOLN AVE
CHICAGO, IL 60614
Radiologic Technologist (Computed Tomography)
2449 N LINCOLN AVE
CHICAGO, IL 60614
Dentist (Oral and Maxillofacial Surgery)
2449 N LINCOLN AVE
CHICAGO, IL 60614

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669692372, enumerated as an "individual" on April 26, 2007.

The provider is located at 2449 N LINCOLN AVE CHICAGO, IL 60614 and the phone number is (773) 327-2400.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.