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Dr. Georgia Marie Peterson-houle, DDS
General Practice Dentistry in Peoria, Arizona
NPI 1578642559

Georgia Marie Peterson-houle is a General Practice Dentistry based in Peoria, AZ and is specialized in General Practice. Georgia Marie Peterson-houle practices in Peoria, AZ and has the professional credentials of DDS. The NPI Number for Georgia Marie Peterson-houle is 1578642559 and holds a License No. D011725 (Arizona).

The current practice location address for Georgia Marie Peterson-houle is 20470 N Lake Pleasant Rd Ste 110, Peoria, AZ and can be reached out via phone at 602-992-1486.

Location: 20470 N Lake Pleasant Rd Ste 110, Peoria, AZ, 85382-9708
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578642559
Provider Name
Georgia Marie Peterson-houle
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
20470 N Lake Pleasant Rd Ste 110, Peoria, AZ, 85382-9708
Phone Number
602-992-1486
Fax Number
Provider Enumeration Date
11/02/2006
Last Update Date
06/15/2024
institution
Provider Business Practice Location Address Details
Address
20470 N Lake Pleasant Rd Ste 110
City
Peoria
State
Arizona
Zip
85382-9708
Phone Number
602-992-1486
Fax Number
person
Provider Business Mailing Address Details
Address
20470 N Lake Pleasant Rd Ste 110
City
Peoria
State
Arizona
Zip
85382-9708
Phone Number
602-992-1486
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D011725 (Arizona)
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.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
D001725 (Arizona)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 3
Type
Dental Providers
Classification
Dentist
Speciality
Orofacial Pain
Taxonomy
1223X2210X
License No.
D011725 (Arizona)
Definition
A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.
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