Provider Demographics
NPI:1487634499
Name:FASHING, GISELA K (DDS)
Entity Type:Individual
Prefix:DR
First Name:GISELA
Middle Name:K
Last Name:FASHING
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 1:325 MCLAWS CIR
Mailing Address - Street 2:#1
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23185-6341
Mailing Address - Country:US
Mailing Address - Phone:757-229-8991
Mailing Address - Fax:757-229-8914
Practice Address - Street 1:325 MCLAWS CIR
Practice Address - Street 2:#1
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185-6341
Practice Address - Country:US
Practice Address - Phone:757-229-8991
Practice Address - Fax:757-229-8914
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA55061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice