Aj Giesa Wyomissing, PLLC
Organization Active NPI Dental Clinic/Center · Wyomissing, PA
NPI 1164075610 · NPPES record last updated Jul 23, 2019
Key facts
- NPI
- 1164075610
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- AJ GIESA WYOMISSING, PLLC
- Practice address
- 40 Berkshire CT
Wyomissing, PA 19610-1224 - Phone
- (509) 627-9291
- NPI assigned
- Jul 23, 2019
- Organization subpart
- No
Authorized official
- Name
- Dr. Andrew James Giesa, DMD
- Title
- Owner
- Phone
- (509) 627-9291
National Provider Directory
Locations
40 Berkshire Ct
Wyomissing, PA 19610
Phone (610) 372-0902
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
40 Berkshire CT
Wyomissing, PA 19610-1224
Mailing address
40 Berkshire CT
Wyomissing, PA 19610-1224
Phone (509) 627-9291
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All providers in Wyomissing, PA · Dental Clinic/Center in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.