Provider Demographics
NPI:1346450632
Name:GEZA E LOCSEY DDS INC
Entity Type:Organization
Organization Name:GEZA E LOCSEY DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LOCSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-866-1234
Mailing Address - Street 1:PO BOX 979
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-0979
Mailing Address - Country:US
Mailing Address - Phone:614-866-1234
Mailing Address - Fax:
Practice Address - Street 1:1344 LANCASTER AVE
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-2136
Practice Address - Country:US
Practice Address - Phone:614-866-1234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30 01 82461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH=========OtherTAX ID