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Peter Gerard Green, DDS
General Practice Dentistry in Flagstaff, Arizona
NPI 1902003940

Peter Gerard Green is a General Practice Dentistry based in Flagstaff, AZ and is specialized in General Practice. Peter Gerard Green practices in Flagstaff, AZ and has the professional credentials of DDS. The NPI Number for Peter Gerard Green is 1902003940 and holds a License No. D7215 (Arizona).

The current practice location address for Peter Gerard Green is 2500 N Rose St, Flagstaff, AZ and can be reached out via phone at 928-213-6151 and via fax at 928-773-0629.

Location: 2500 N Rose St, Flagstaff, AZ, 86003-3630
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902003940
Provider Name
Peter Gerard Green
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2500 N Rose St, Flagstaff, AZ, 86003-3630
Phone Number
928-213-6151
Fax Number
928-773-0629
Provider Enumeration Date
07/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DEN02602 01 RI LICENSE NO
institution
Provider Business Practice Location Address Details
Address
2500 N Rose St
City
Flagstaff
State
Arizona
Zip
86004-3659
Phone Number
928-213-6151
Fax Number
928-773-0629
person
Provider Business Mailing Address Details
Address
2500 N Rose St
City
Flagstaff
State
Arizona
Zip
86004-3659
Phone Number
928-213-6151
Fax Number
928-773-0629
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D7215 (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.
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