Green, Lance David
Green, Lance David is an sole proprietor health care provider with primary practice located at 1225 Willow Creek Rd , Prescott AZ 86301. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Green, Lance David can be contacted via phone (928) 445-5692.Contact Information
Primary practice address
1225 Willow Creek Rd
Prescott AZ 86301
Phone: (928) 445-5692
Fax: (925) 445-5313
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DEA#BG202645 | Arizona |
Profile Details
| NPI number | 1649232521 |
|---|---|
| LBN Legal business name | Green, Lance David |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 5th, 2006 |
| Last updated | May 22nd, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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