Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619105194 Individual Practitioner Male Practitioner

Peter B Green

Dentist - General Practice • Austin, MN

Professional Overview & Biography Verified Profile Summary

Peter Green is a registered healthcare professional specializing in Dentist - General Practice in Austin, MN. Practice services are available at 800 1ST AVE SW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

800 1st Ave Sw

Austin, MN 559122507

Telephone 5074378208
Fax 5074337348
Associated Practice Facility / Clinic
🏢 Drs Elrod Green Dds Pa Facility NPI 1972712321

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Austin, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 33.3 Yrs
Regional Practice Density
10 Specialists

Practicing in Austin, MN (2262 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 MN D9111

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.

Practice Associates & Co-Workers

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

6 Associated Practitioners
David Elrod

Dentist - General Practice

NPI 1023246592
NPI 1205061793

Doctor of Dental Surgery

Dr. Bobee Hyland , DDS

Dentist - General Practice

NPI 1528215605

Doctor of Dental Surgery

NPI 1609487016

Doctor of Dental Surgery

NPI 1710596598

Doctor of Dental Surgery

Kathryn Lea

Dental Therapist

NPI 1750990206

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 04, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location January 04, 2012

Registered at 800 1ST AVE SW, AUSTIN, MN 559122507 (Tel: 5074378208)

📍
Updated Business Mailing Address January 04, 2012

Registered at 800 1ST AVE SW, AUSTIN, MN 559122507 (Tel: 5074378208)

👤
Provider Name / Credentials Updated January 04, 2012

Recorded as PETER GREEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2012

Dentist (License #D9111 in MN)

🟢
Initial NPI Registration & Enumeration June 23, 2009

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: 1619105194
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2009
Last Update: January 04, 2012
Sole Proprietor: No

Mailing Address

800 1st Ave Sw

Austin, MN 559122507

Phone: 5074378208

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.