Individual
DR. JAMES TYLER GEISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
136 PLAZA BLVD, MADISON, AL 35758-1160
(256) 464-3556
(256) 464-3553
Mailing address
136 PLAZA BLVD, MADISON, AL 35758-1160
(256) 464-3556
(256) 464-3553
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D5853
AL
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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