MEDICARE: DR. GEORGIA MARIE PETERSON-HOULE DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X2210X	Orofacial Pain Dentistry	D001725	AZ
2	1223G0001X	General Practice Dentistry	D011725	AZ
3	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	D011725	AZ

General Provider Information

NPI Number	:	1578642559
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEORGIA MARIE PETERSON-HOULE DDS

Provider Business Mailing Address
First Line	:	20470 N LAKE PLEASANT RD # 1100
Second Line	:
City	:	PEORIA
State	:	AZ
Zip	:	85382-9708
Country	:	US
Telephone Number	:	602-992-1486
Fax Number	:

Provider Business Practice Location Address
First Line	:	20470 N LAKE PLEASANT RD STE 110
Second Line	:
City	:	PEORIA
State	:	AZ
Zip	:	85382-9708
Country	:	US
Telephone Number	:	602-992-1486
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2006
Last Update Date	:	03/03/2026

Similar Medicare Providers

1891184297 — SOUTHWEST OROFACIAL GROUP, INC.
Practice Location Address:

20470 N LAKE PLEASANT RD STE 110
PEORIA, AZ
85382-9708

Practice Phone: 602-992-1486
Practice Fax: 602-992-6604

1740242460 — AEGIS MEDICAL CARE OF AZ, PC
Practice Location Address:

20470 N LAKE PLEASANT RD , SUITE 110
PEORIA, AZ
85382-9708

Practice Phone: 623-266-4699
Practice Fax: 623-825-5630

1952367492 — SUN CITY URGENT CARE LLC
Practice Location Address:

20470 N LAKE PLEASANT RD , STE. 102
PEORIA, AZ
85382-9708

Practice Phone: 480-776-1588
Practice Fax: 623-825-0231

1144260258 — DR. PAMELA HORNER PH.D.
Practice Location Address:

20470 N LAKE PLEASANT RD , STE 106
PEORIA, AZ
85382-9708

Practice Phone: 623-584-7800
Practice Fax: 623-933-8625

1699784041 — LIZABETH ARIX ZENKER D.C.
Practice Location Address:

20470 N LAKE PLEASANT RD , SUITE 109
PEORIA, AZ
85382-9708

Practice Phone: 623-376-8225
Practice Fax: 623-376-8227

1528254323 — ZENKER FAMILY CHIROPRACTIC, LLC
Practice Location Address:

20470 N LAKE PLEASANT RD , SUITE 109
PEORIA, AZ
85382-9708

Practice Phone: 623-376-8225
Practice Fax: 623-376-8227

Directions to “ DR. GEORGIA MARIE PETERSON-HOULE DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.