Richel Geisse, DDS
Individual provider Active NPI General Practice Dentistry · Greencastle, IN
NPI 1992235170 · NPPES record last updated Jun 19, 2017
Key facts
- NPI
- 1992235170
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 12012706A (IN)
- Practice address
- 1113 Indianapolis Rd
Greencastle, IN 46135-2408 - Phone
- (765) 276-4905
- NPI assigned
- Jun 19, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12012706A | IN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisse Family Dental LLC | General Practice | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12012706A | IN | Yes |
Addresses
Primary practice location
1113 Indianapolis Rd
Greencastle, IN 46135-2408
Mailing address
5788 Independence Ave
Indianapolis, IN 46234-3681
Phone (317) 670-9768
Other providers in Greencastle, IN
- Erin Flick
- Briawna Francis
- Tess Lorraine Funke
- Darby Ruth Garcia
- Kishore NK Gazula
- Cameron Dean Ginter
- Dana Glessner
- Julia Goldbort
- Kimberly S Grande
- Greencastle 20/20 Dental, LLC
All providers in Greencastle, IN · General Practice Dentistry in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2017. 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.