DR. MARK RAYMOND GREEN D.D.S.
NPI 1841209962
Dentist - General Practice in South Bend, IN

Q: What is Mark Green's NPI number?

The NPI number for Mark Green is 1841209962. It was assigned to this individual provider in the NPPES registry on August 7, 2006.

Q: What is Mark Green's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mark Green was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since August 07, 2006

2201 LINCOLN WAY WEST, SOUTH BEND, IN 46628(574) 232-4990(574) 232-2470 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Mark Raymond Green D.d.s. NPPES

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

DR. MARK RAYMOND GREEN D.D.S. (NPI 1841209962) is an individual general practice provider in South Bend, Indiana, licensed in Indiana (12008310) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1841209962

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MARK RAYMOND GREENCredential: D.D.S.

Location Address2201 LINCOLN WAY WESTSouth Bend, IN 46628-2513

Mailing Address2201 Lincoln Way WSouth Bend, IN 46628-2513 · (574) 232-4990 · Fax (574) 232-2470

Phone(574) 232-4990

Fax(574) 232-2470

Sole ProprietorYes

Enumeration DateAugust 7, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1841209962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IN · 12008310

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.

2201 LINCOLN WAY WEST, South Bend, IN 46628

Open in Google Maps ↗

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 ›

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 Mark Green's NPI number?

The NPI number for Mark Green is 1841209962. It was assigned to this individual provider in the NPPES registry on August 7, 2006.

Where is Mark Green located?

Mark Green practices at 2201 Lincoln Way West, South Bend, IN 46628. The listed phone number is (574) 232-4990.

What is Mark Green's specialty?

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

What insurance does Mark Green accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 5 other insurers list Mark 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 Mark Green was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.