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DR. GEORGIA MARIE HOULE DDS NPI 1578642559


NPI Information

NPI: 1578642559
Provider Name: DR. GEORGIA MARIE HOULE, DDS
Classification: Dentist - 1223X2210X
Entity Type: Individual

Specialization: Orofacial Pain

PECOS Registration: Yes

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

DR. Georgia Marie Houle, DDS is an orofacial pain dentist in Peoria, AZ. 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 Houle, DDS NPI is 1578642559. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

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 4/4/2024.


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
1122300000XDentistD11809MINNESOTANo
21223G0001XDentistGeneral PracticeD011725ARIZONANo
31223S0112XDentistOral and Maxillofacial SurgeryD011725ARIZONANo
41223X2210XDentistOrofacial PainD001725ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1310422200MEDICAIDMINNESOTA

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.