# GIESTING FAMILY DENTISTRY, PC

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

## Provider details

- **NPI number:** 1780756718
- **Authorized official:** JACOB A GIESTING DDS (GENERAL DENTIST / OWNER)
- **Authorized official phone:** (765) 647-2511

## Contact information

- **Practice address:** 10130 OXFORD PIKE, BROOKVILLE, IN 47012-9414
- **Practice address phone:** (765) 647-2511
- **Practice address fax:** (765) 647-6840
- **Mailing address:** PO BOX D, BROOKVILLE, IN 47012
- **Mailing address phone:** (765) 647-2511
- **Mailing address fax:** (765) 647-6840

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12007150 | IN | — |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 11/14/2006
- **Last updated:** 05/10/2019