Organization
GEIST ORTHO GROUP, LLC.
Active
Organization
GEIST ORTHO GROUP, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIAN E. DAVILA DMD, MS. (ORTHODONTIST / OWNER)
(317) 507-9820
Entity
Organization
Contact information
Practice address
8418 E 116TH ST, FISHERS, IN 46038-1506
(317) 585-7491
Mailing address
8140 OAKLANDON RD, INDIANAPOLIS, IN 46236-9543
(317) 823-8338
(317) 823-8420
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
11/19/2025
Last updated
11/19/2025
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