Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark A Green, DDS, MD

Individual provider Oral & Maxillofacial Surgery (D.M.D.) · NPI 1821352394

Mark A Green, DDS, MD is an Oral Surgery in Boston, Massachusetts. Graduated from Columbia University College of Dental Medicine in 2012, 14 years ago. Practices with Boston Plastic and Oral Surgery, a 7-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
14
Trained at
Columbia University College of Dental Medicine
Licensed in
MA
In the registry since
2012
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

300 Longwood Ave
Boston, MA 02115-5724
Phone: (617) 355-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence DN1857060 (MA)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence 274122 (MA)

Record details

NPI number1821352394
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MD
Sole proprietorNo
NPI enumeratedJune 29, 2012
Last updated in NPPESApril 4, 2023
Certification dateApril 4, 2023
Mailing address300 Longwood Ave, Boston, MA 02115-5724

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF DENTAL MEDICINE
Graduated 2012 (14 years in practice)
Group practice Boston Plastic And Oral Surgery — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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