Edward G Geisel DDS PLLC

Organization Active NPI General Practice Dentistry · East Bend, NC

NPI 1669682159 · NPPES record last updated Mar 21, 2017

Key facts

NPI
1669682159
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
NC5590 (NC)
Legal business name
EDWARD G GEISEL DDS PLLC
Practice address
201 Neill LN
East Bend, NC 27018-0130
Phone
(336) 699-8001
Fax
(336) 699-5030
NPI assigned
May 23, 2007
Organization subpart
No

Authorized official

Name
Dr. Edward George Geisel, DDS NPI 1730280488
Title
Owner
Phone
(336) 699-8001

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

201 Neill Ln
East Bend, NC 27018
Phone (336) 699-8001

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X NC5590 NC Yes

Addresses

Primary practice location

201 Neill LN
East Bend, NC 27018-0130

Mailing address

PO Box 130
201 Neill LN
East Bend, NC 27018-0130
Phone (336) 699-8001

Other identifiers

IdentifierTypeStateIssuer
8993141MedicaidNC

Other providers in East Bend, NC

All providers in East Bend, NC · General Practice Dentistry in North Carolina

Sources for this page

Verify at the official NPI Registry.