Edward G Geisel DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

NC5590 Issued in 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

Last updated

Mar 21, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Edward George Geisel, DDSNPI 1730280488

Title

Owner

Phone

(336) 699-8001

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edward George Geisel, DDS

  • General Practice Dentistry
  • East Bend, NC
  • NPI 1730280488
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1669682159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "address_2": "201 NEILL LN",
            "city": "EAST BEND",
            "state": "NC",
            "postal_code": "270180130",
            "telephone_number": "336-699-8001",
            "fax_number": "336-699-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NEILL LN",
            "city": "EAST BEND",
            "state": "NC",
            "postal_code": "270180130",
            "telephone_number": "336-699-8001",
            "fax_number": "336-699-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD G GEISEL DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "GEISEL",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-699-8001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "NC5590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sherye Moore Hall, SPEECH PATHOLOGIST

• General Practice Dentistry in East Bend, NC
• Providers in East Bend, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.