DR. GEORGIA MARIE PETERSON-HOULE DDS NPI 1578642559

NPI Information

  • NPI: 1578642559
  • Provider Name: DR. GEORGIA MARIE PETERSON-HOULE, DDS
  • Classification: Dentist - 1223X2210X
  • Specialization: Orofacial Pain
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 20470 N LAKE PLEASANT RD STE 110
    PEORIA, AZ
    ZIP 85382
  • Phone: (602) 992-1486

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NPI Details

DR. Georgia Marie Peterson-houle, DDS is an orofacial pain dentist in Peoria, AZ with 22 years of experience. The provider is a dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain. DR. Georgia Marie Peterson-houle, DDS NPI is 1578642559. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MINNESOTA SCHOOL OF DENTISTRY
Graduation Year:2003

The provider's business location address is:

20470 N LAKE PLEASANT RD STE 110
PEORIA, AZ
ZIP 85382-708
Phone: (602) 992-1486

The NPI 1578642559 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 11/2/2006 and was last updated on 5/22/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryD011725ARIZONANo
21223X2210XDentistOrofacial PainD001725ARIZONAYes
31223G0001XDentistGeneral PracticeD011725ARIZONANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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