Organization
EDWARD G GEISEL DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD GEORGE GEISEL DDS (OWNER)
(336) 699-8001
Entity
Organization
Contact information
Practice address
201 NEILL LN, EAST BEND, NC 27018-0130
(336) 699-8001
(336) 699-5030
Mailing address
PO BOX 130, 201 NEILL LN, EAST BEND, NC 27018-0130
(336) 699-8001
(336) 699-5030
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
NC5590
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8993141
—
NC
Enumeration date
05/23/2007
Last updated
03/21/2017
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