Provider Demographics
NPI:1689011009
Name:SCHREIBER, GEOFFREY MORGAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:GEOFFREY
Middle Name:MORGAN
Last Name:SCHREIBER
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 1:6033 PROVIDENCE RD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-3815
Mailing Address - Country:US
Mailing Address - Phone:757-424-2672
Mailing Address - Fax:757-424-8655
Practice Address - Street 1:6033 PROVIDENCE RD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23464
Practice Address - Country:US
Practice Address - Phone:757-424-2672
Practice Address - Fax:757-424-2672
Is Sole Proprietor?:No
Enumeration Date:2013-05-24
Last Update Date:2018-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401414078122300000X
VA0438003801223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No122300000XDental ProvidersDentist