Organization
GEISE DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES TYLER GEISE DMD (PRESIDENT)
(205) 331-9229
Entity
Organization
Contact information
Practice address
1111 GLENEAGLES DR SW, SUITE A, HUNTSVILLE, AL 35801-7417
(256) 881-7080
Mailing address
1111 GLENEAGLES DR SW, SUITE A, HUNTSVILLE, AL 35801-7417
(256) 881-7080
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3526
AL
122300000X
Dentist
Primary
5853
AL
122300000X
Dentist
6107
AL
Other
Enumeration date
01/06/2017
Last updated
01/06/2017
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