Provider Demographics
NPI:1336316066
Name:GEATING, FREDERICK JOSEPH (DDS)
Entity Type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:JOSEPH
Last Name:GEATING
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 SCOTT ADAM RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:COCKEYSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21030-3218
Mailing Address - Country:US
Mailing Address - Phone:410-666-1140
Mailing Address - Fax:410-666-1140
Practice Address - Street 1:50 SCOTT ADAM RD
Practice Address - Street 2:SUITE 106
Practice Address - City:COCKEYSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21030-3218
Practice Address - Country:US
Practice Address - Phone:410-666-1140
Practice Address - Fax:410-666-1140
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-12
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD4022122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist