Peter B. Green

General Practice Dentistry · Austin, MN

Individual Active NPI

NPI number 1619105194

Practice location

800 1st Ave SW
Austin, MN 55912-2507
Phone
(507) 437-8208
Fax
(507) 433-7348

Open in Google Maps

NPI record

NPI
1619105194
Entity type
Individual (Type 1)
Enumeration date
June 23, 2009
Last updated
January 4, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D9111 MN

About Peter Green

Peter B. Green is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 800 1st Ave SW, Austin, MN 55912-2507. The NPI number 1619105194 was assigned on June 23, 2009 and the record was last updated on January 4, 2012.

Peter Green lists a license in the registry: #D9111 (MN) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Peter B. Green?

The NPI number is 1619105194.

What is the phone number of Peter Green?

The phone number listed for the practice location is (507) 437-8208.

Where is Peter Green located?

800 1st Ave SW, Austin, MN 55912-2507.

What is the taxonomy code for Peter Green?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other General Practice Dentistry providers in Austin

All General Practice Dentistry providers in Austin, MN →