DR. LANCE DAVID GREEN (NPI# 1649232521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649232521 |
| Entity Type | Individual |
| Full Name | DR. LANCE DAVID GREEN |
| Credential | DDS |
| Practice Address |
1225 Willow Creek Rd Prescott AZ 86301 |
| Practice Telephone | 9284455692 |
| Practice Fax Number | 9254455313 |
| Mailing Telephone | 9284455692 |
| Mailing Fax Number | 9254455313 |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2013-05-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DEA#BG202645 | AZ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235437062 | Lance Joseph Green | Counselor | 417 Liberty St, Springfield, MA 01104-3736 | 2011-03-02 |
| 1679802573 | Lance Justin Green | Counselor | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2009-12-24 |
| Street Address |
1225 WILLOW CREEK RD |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790747418 | Michael Allen Mcclain | Dentist | 1225 Willow Creek Rd, Prescott, AL 86301 | 2006-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102350 | Dove Marie Gundermann | Specialist/Technologist | 300 W. Gurley St, Prescott, AZ 86301 | 2020-07-30 |
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 1538714092 | Prescott Complete Care | Family Medicine | 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 | 2019-08-01 |
| 1336612571 | Sarah Elizabeth Elliott | Registered Nurse | 500 Az 89, Prescott, AZ 86301 | 2019-01-10 |
| 1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
| 1396241394 | Jerome Alexander Longoria | Chiropractor | 142 N. Rush St, Prescott, AZ 86301 | 2018-03-30 |
| 1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
| 1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
| 1164896999 | Spitler - Lilley, LLC | Hearing Instrument Specialist | 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 | 2015-11-17 |
| 1275925265 | Oral and Facial Surgery Center of Prescott | Dentist | 5415 Distiction Way, Prescott, AZ 86301 | 2015-02-27 |
| Find all providers in zip 86301 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831557230 | Craig Nikolaus | Dentist | 1583 Prescott View Cir, Prescott, AZ 86301-1556 | 2016-02-01 |
| 1518277086 | Cardio Sleep Solutions Arizona LLC | Dentist | 804 Ainsworth, Suite 102, Prescott, AZ 86301-1624 | 2010-10-18 |
| 1649408576 | Jason C. Campbell Dds. | Dentist | 139 Whipple St, Prescott, AZ 86301-1705 | 2009-06-30 |
| 1457523680 | James Spurgeon | Dentist | 222 S Summit Ave Ste 2, Prescott, AZ 86303-3780 | 2008-03-27 |
| 1013138841 | Sergio Gerardo Montes | Dentist | 350 W. Whipple St., Prescott, AZ 86301-1714 | 2007-05-01 |
| 1780702274 | Tommy Curtis Bowman | Dentist | 3765 Crossings Drive, Suite A, Prescott, AZ 86305 | 2007-03-26 |
| 1457439978 | Peter J Bower | Dentist | 701 W Hillside Ave, Prescott, AZ 86301-1937 | 2006-11-01 |
| 1144320193 | Michael Joseph Toninato | Dentist | 1015 Campbell St N, Prescott, WI 54021-1157 | 2006-09-22 |
| 1922104801 | Gerald Otto Gatzke | Dentist | 127 Broad St N, Prescott, WI 54021-0000 | 2006-09-16 |
| 1619933603 | Spurgeon Dental PC | Dentist | 222 S Summit Ave, #2, Prescott, AZ 86303 | 2006-04-26 |
| Find all providers in PRESCOTT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.