PETER GERARD GREEN DDS
NPI 1902003940
Dentist - General Practice in Flagstaff, AZ

Active since July 02, 2007
2500 N ROSE ST, FLAGSTAFF, AZ 86004(928) 213-6151(928) 773-0629 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peter Gerard Green Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETER GERARD GREEN DDS (NPI 1902003940) is an individual general practice provider in Flagstaff, Arizona, licensed in Arizona (D7215) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1902003940
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NamePETER GERARD GREENCredential: DDS
Location Address2500 N ROSE STFlagstaff, AZ 86004-3659
Mailing AddressPo Box 3630Flagstaff, AZ 86003-3630 · (928) 213-6121 · Fax (928) 213-6136
Fax(928) 773-0629
Sole ProprietorNo
Enumeration DateJuly 2, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1902003940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in AZ · D7215
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.
2500 N ROSE ST, Flagstaff, AZ 86004

Other Identifiers 1

OtherDEN02602RI · License No

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
2500 N ROSE ST
FLAGSTAFF, AZ 86004
Family Medicine
2500 N ROSE ST
FLAGSTAFF, AZ 86004
Family Medicine
2500 N ROSE ST
FLAGSTAFF, AZ 86004
Nurse Practitioner (Family)
2500 N ROSE ST
FLAGSTAFF, AZ 86004
Dentist (General Practice)
2500 N ROSE ST
FLAGSTAFF, AZ 86004
Pharmacist
2500 N ROSE ST
FLAGSTAFF, AZ 86004
Nurse Practitioner (Family)
2500 N ROSE ST
FLAGSTAFF, AZ 86004
Dietitian, Registered
2500 N ROSE ST
FLAGSTAFF, AZ 86004

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Green's NPI number?

The NPI number for Peter Green is 1902003940. It was assigned to this individual provider in the NPPES registry on July 2, 2007.

Where is Peter Green located?

Peter Green practices at 2500 N Rose St, Flagstaff, AZ 86004. The listed phone number is (928) 213-6151.

What is Peter Green's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Peter Green was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.