| Edward G Geisel Dds Pllc | |
|
201 Neill Ln East Bend NC 27018-0130 | |
| (336) 699-8001 | |
| (336) 699-5030 |
| Full Name | Edward G Geisel Dds Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 201 Neill Ln, East Bend, North Carolina |
| Authorized Official Name and Position | Edward George Geisel (OWNER) |
| Authorized Official Contact | 3366998001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward G Geisel Dds Pllc Po Box 130 201 Neill Ln East Bend NC 27018-0130 Ph: (336) 699-8001 | Edward G Geisel Dds Pllc 201 Neill Ln East Bend NC 27018-0130 Ph: (336) 699-8001 |
| NPI Number | 1669682159 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 03/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669682159 | NPI | - | NPPES |
| 8993141 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | NC5590 (North Carolina) | Primary |