Search › Indiana › 1223G0001X
Mark Green, D.D.S
NPI 1841209962 · on the registry since 2006 · sole proprietor
Practice
- Address
- 2201 Lincoln Way West
South Bend, IN 46628 - Phone
- (574) 232-4990
- Fax
- (574) 232-2470
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana