# DR GARY GEACCONE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609034727
- **Authorized official:** DR. GARY GEACCONE DDS (DENTIST/ OWNER)
- **Authorized official phone:** (281) 332-9565

## Contact information

- **Practice address:** 608 B WEST MAIN, LEAGUE CITY, TX 77573
- **Practice address phone:** (281) 332-9565
- **Practice address fax:** (281) 554-9066
- **Mailing address:** 608 W MAIN ST, STE B, LEAGUE CITY, TX 77573-3884
- **Mailing address phone:** (281) 332-9565
- **Mailing address fax:** (281) 554-9066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D14401 | TX | Yes |

## Other

- **Enumeration date:** 05/27/2008
- **Last updated:** 05/27/2008