IndividualActive
Ivan Green
NPI 1053615831 · General Practice Dentistry · Roseville, MI
Ivan Green is a General Practice Dentistry provider in Roseville, MI (NPI 1053615831).
Provider details
- NPI number
- 1053615831
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2901009700 (MI)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
19551 E 10 Mile Rd
Roseville, MI 48066-3998
Phone: (586) 775-6770
Street-level locationGet directions
Mailing address
29961 Northbrook St
Farmington Hills, MI 48334-2328
Registry dates
- Enumerated
- 2011-01-07
- Last updated
- 2011-01-07
Frequently asked questions
- What is Ivan Green's NPI number?
- Ivan Green's National Provider Identifier (NPI) is 1053615831, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ivan Green's specialty?
- Ivan Green is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Ivan Green located?
- Ivan Green's practice location on file with NPPES is 19551 E 10 Mile Rd, Roseville, MI 48066-3998.
- What is Ivan Green's phone number?
- The practice phone number listed in the NPPES registry for Ivan Green is (586) 775-6770.
- Is Ivan Green's NPI active?
- Yes — Ivan Green's NPI (1053615831) is active in the NPPES registry as of the last update on 2011-01-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.