Provider Demographics
NPI:1346407152
Name:JAMES S GEISTER, DDS, PC
Entity Type:Organization
Organization Name:JAMES S GEISTER, DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:S
Authorized Official - Last Name:GEISTER
Authorized Official - Suffix:
Authorized Official - Credentials:DENTIST
Authorized Official - Phone:586-752-4545
Mailing Address - Street 1:66611 VAN DYKE RD
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:48095-2021
Mailing Address - Country:US
Mailing Address - Phone:586-752-4545
Mailing Address - Fax:586-752-5369
Practice Address - Street 1:66611 VAN DYKE RD
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:MI
Practice Address - Zip Code:48095-2021
Practice Address - Country:US
Practice Address - Phone:586-752-4545
Practice Address - Fax:586-752-5369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-20
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901011199122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty