Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902003940 Individual Practitioner Male Practitioner

Dr. Peter Gerard Green , DDS

Dentist - General Practice • Flagstaff, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Peter Green, DDS is a registered healthcare professional specializing in Dentist - General Practice in Flagstaff, AZ. Practice services are available at 2500 N ROSE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2500 N Rose St

Flagstaff, AZ 860043659

Telephone 9282136151
Fax 9287730629
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Flagstaff, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.0 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
39 Specialists

Practicing in Flagstaff, AZ (2600 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AZ D7215

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License No
DEN02602 (RI)

Practice Associates & Co-Workers

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

8 Associated Practitioners
NPI 1033189451

Doctor of Dental Surgery

Dr. Ian Patience , MD

Family Medicine

NPI 1174591887

Doctor of Medicine (M.D.)

Dr. Edith Welty , MD

Family Medicine

NPI 1225006976

Doctor of Medicine (M.D.)

Judith Sellers , FNP

Nurse Practitioner - Family

NPI 1225229107

Family Nurse Practitioner

Dr. Kimberly Williams-Barnes , DDS

Dentist - General Practice

NPI 1336292598

Doctor of Dental Surgery

NPI 1497783690

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2500 N ROSE ST, FLAGSTAFF, AZ 860043659 (Tel: 9282136151)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 3630, FLAGSTAFF, AZ 860033630 (Tel: 9282136121)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PETER GREEN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #D7215 in AZ)

🟢
Initial NPI Registration & Enumeration July 02, 2007

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: 1902003940
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 02, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

Po Box 3630

Flagstaff, AZ 860033630

Phone: 9282136121

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.