Lance David Green is a Dentist in Prescott, Arizona. Lance David Green practices all healthcare services and medical treatments related to Dentist. The NPI Number for Lance David Green is 1649232521. The last update date is 2013-05-22.
Lance David Green's current location address is 1225 Willow Creek Rd, Prescott, Arizona. You can contact this provider via phone number 9284455692 and fax number 9254455313. The mailing address for Lance David Green is 1225 Willow Creek Rd, Prescott, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lance David Green |
|---|---|
| Address | 1225 Willow Creek Rd, Prescott, Arizona |
| Phone Number | 9284455692 |
| Fax Number | 9254455313 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1649232521 |
|---|---|
| Provider Enumeration Date | 2006-04-05 |
| Last Updated Date | 2013-05-22 |
Provider Mailing Address Detail
| Address | 1225 Willow Creek Rd |
|---|---|
| City | Prescott |
| State | Arizona (AZ) |
| Post Code | 86301 |
| Phone Number | 9284455692 |
| Fax Number | 9254455313 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DEA#BG202645 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code issued to Lance David Green by the Centers for Medicare & Medicaid Services?
The Lance David Green has been assigned the NPI (National Provider Identifier) 1649232521 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Lance David Green located?
The Lance David Green is located at 1225 Willow Creek Rd, Prescott, AZ 86301.
What is Lance David Green's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lance David Green is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date was the 1649232521 assigned to Lance David Green?
The Lance David Green was issued its 1649232521 on 2006-04-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Lance David Green, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lance David Green, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-05-22.