Individual provider · Type 1 NPI

Peter Gerard Green, DDS

General Practice Dentistry · Flagstaff, AZ

NPI number 1902003940 Active

Practice location

2500 N Rose St
Flagstaff, AZ 86004-3659

Fax (928) 773-0629

Mailing address

PO Box 3630
Flagstaff, AZ 86003-3630

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD7215 (AZ)

General Practice Dentistry: 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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About NPI 1902003940

Peter Gerard Green, DDS's National Provider Identifier is 1902003940, issued on Jul 2, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Flagstaff, AZ. The record was last updated on Jul 8, 2007.