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BROOKE GREEN
NPI 1720657653
Dentist in Pontiac, MI

Active since June 24, 2021PECOS Enrolled
1101 E WALTON BLVD, PONTIAC, MI 48340(248) 499-9989 Get Directions Write a Review

NPPES record last updated: June 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brooke Green NPPES

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

BROOKE GREEN (NPI 1720657653) is an individual dentist in Pontiac, Michigan, licensed in Michigan (2901600992) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720657653
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameBROOKE GREEN
Location Address1101 E WALTON BLVDPontiac, MI 48340-1591
Mailing Address27526 Doreen StFarmington Hills, MI 48336-6012 · (847) 849-0606
Phone(248) 499-9989
Sole ProprietorNo
Enumeration DateJune 24, 2021
NPPES CertifiedJune 1, 2021
✔ NPI 1720657653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MI · 2901600992
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1101 E WALTON BLVD, Pontiac, MI 48340
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Other Names 1

Former Name (1)Brooke Stevens

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brooke Green is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48340 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

D2 DENTAL OF MICHIGAN, P.C.
Dentist
1101 E WALTON BLVD, SUITE 300
PONTIAC, MI 48340
Oakland County (248) 499-9989
CARNIVAL PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
1101 E WALTON BLVD, #202
PONTIAC, MI 48340
Oakland County (248) 475-2200
MYKAL DISCOUNT PHARMACY
Pharmacy (Community/Retail Pharmacy)
1101 E WALTON BLVD
PONTIAC, MI 48340
Oakland County (678) 508-2178
DR. YOUNG DO KIM DDS
Dentist (General Practice)
1101 E WALTON BLVD
PONTIAC, MI 48340
Oakland County (248) 499-9989

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 Brooke Green's NPI number?

The NPI number for Brooke Green is 1720657653. It was assigned to this individual provider in the NPPES registry on June 24, 2021. The provider is also known as Brooke Stevens.

Where is Brooke Green located?

Brooke Green practices at 1101 E Walton Blvd, Pontiac, MI 48340. The listed phone number is (248) 499-9989.

What is Brooke Green's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Brooke Green enrolled in Medicare?

Yes. Brooke Green is registered in the Medicare PECOS enrollment system.

What insurance does Brooke Green accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, BEST Life and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 8 other insurers list Brooke 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 Brooke Green was last updated on June 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.