Lance David Green, DDS

Dentist · Prescott, AZ

Individual Active NPI

NPI number 1649232521

Practice location

1225 Willow Creek Rd
Prescott, AZ 86301
Phone
(928) 445-5692
Fax
(925) 445-5313

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NPI record

NPI
1649232521
Entity type
Individual (Type 1)
Enumeration date
April 5, 2006
Last updated
May 22, 2013
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DEA#BG202645 AZ

About Dr. Green

Lance David Green, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1225 Willow Creek Rd, Prescott, AZ 86301. The NPI number 1649232521 was assigned on April 5, 2006 and the record was last updated on May 22, 2013.

Dr. Green lists a license in the registry: #DEA#BG202645 (AZ) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lance David Green, DDS?

The NPI number is 1649232521.

What is the phone number of Dr. Green?

The phone number listed for the practice location is (928) 445-5692.

Where is Dr. Green located?

1225 Willow Creek Rd, Prescott, AZ 86301.

What is the taxonomy code for Dr. Green?

The primary taxonomy code is 122300000X – Dentist.

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.

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