Organization
GIESTING FAMILY DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB A GIESTING DDS (GENERAL DENTIST / OWNER)
(765) 647-2511
Entity
Organization
Contact information
Practice address
10130 OXFORD PIKE, BROOKVILLE, IN 47012-9414
(765) 647-2511
(765) 647-6840
Mailing address
PO BOX D, BROOKVILLE, IN 47012
(765) 647-2511
(765) 647-6840
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12007150
IN
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/14/2006
Last updated
05/10/2019
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