Provider Demographics
NPI:1477746410
Name:GESENHUES, ELIZABETH K (DDS)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:K
Last Name:GESENHUES
Suffix:
Gender:F
Credentials:DDS
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Mailing Address - Street 1:491 PROSPERITY LAKE DR
Mailing Address - Street 2:SUITE 301
Mailing Address - City:ST AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32092-5045
Mailing Address - Country:US
Mailing Address - Phone:904-429-0095
Mailing Address - Fax:904-429-0238
Practice Address - Street 1:491 PROSPERITY LAKE DR
Practice Address - Street 2:SUITE 301
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32092-5045
Practice Address - Country:US
Practice Address - Phone:904-429-0095
Practice Address - Fax:904-429-0238
Is Sole Proprietor?:No
Enumeration Date:2007-08-23
Last Update Date:2014-05-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLDN000121541223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics