Provider Demographics
NPI:1639842362
Name:GEUY, PAUL C (DDS)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:C
Last Name:GEUY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2507 LEATHERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-2738
Mailing Address - Country:US
Mailing Address - Phone:937-935-4128
Mailing Address - Fax:
Practice Address - Street 1:FAIRBANKS DENTAL CLINIC BUILDING 9440
Practice Address - Street 2:BATTALLION AVE
Practice Address - City:FORT HOOD
Practice Address - State:TX
Practice Address - Zip Code:76544
Practice Address - Country:US
Practice Address - Phone:254-288-7863
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-28
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.026475122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty