Provider Demographics
NPI:1841392065
Name:GESL, JAMES FRANCIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:FRANCIS
Last Name:GESL
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 1:83 HIGH STREET
Mailing Address - Street 2:SUITE A
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20602-2190
Mailing Address - Country:US
Mailing Address - Phone:301-645-3601
Mailing Address - Fax:301-705-5396
Practice Address - Street 1:83 HIGH ST
Practice Address - Street 2:SUITE A
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20602-2190
Practice Address - Country:US
Practice Address - Phone:301-645-3601
Practice Address - Fax:301-705-5396
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD66551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice