Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811512932 Individual Practitioner Male Practitioner

Dr. Kevan S Green , DDS

Dentist - General Practice • Delaware, OH

Professional Overview & Biography Verified Profile Summary

Dr. Kevan Green, DDS is a registered healthcare professional specializing in Dentist - General Practice in Delaware, OH. Practice services are available at 133 W HULL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

133 W Hull Dr

Delaware, OH 430153703

Telephone 7403633871
Fax 7403696616
Associated Practice Facility / Clinic
🏢 Robert Green Dds Inc Facility NPI 1144289042

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Delaware, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.6 Yrs
Regional Practice Density
13 Specialists

Practicing in Delaware, OH (4287 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-06-15
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OH 026191

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Robert Green , DDS

Dentist - General Practice

NPI 1104865799

Doctor of Dental Surgery

Dr. James Pawlecki , DDS

Dentist - General Practice

NPI 1720174923

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 15, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 15, 2020

Registered at 133 W HULL DR, DELAWARE, OH 430153703 (Tel: 7403633871)

📍
Updated Business Mailing Address June 15, 2020

Registered at 133 W HULL DR, DELAWARE, OH 430153703 (Tel: 7403633871)

👤
Provider Name / Credentials Updated June 15, 2020

Recorded as KEVAN GREEN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2020

Dentist (License #026191 in OH)

🟢
Initial NPI Registration & Enumeration June 15, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811512932
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2020
Last Update: June 15, 2020
Sole Proprietor: No

Mailing Address

133 W Hull Dr

Delaware, OH 430153703

Phone: 7403633871

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.