Provider Demographics
NPI:1376611871
Name:GEISELMAN, DEBRA ANN (DDS)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:ANN
Last Name:GEISELMAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 E MARKET ST
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-2890
Mailing Address - Country:US
Mailing Address - Phone:717-755-0694
Mailing Address - Fax:717-755-4582
Practice Address - Street 1:1900 E MARKET ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-2890
Practice Address - Country:US
Practice Address - Phone:717-755-0694
Practice Address - Fax:717-755-4582
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA225071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice