Provider Demographics
NPI:1922010438
Name:GEISTER, ERIC M (DDS)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:M
Last Name:GEISTER
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 1:11 FLOWERS DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-1714
Mailing Address - Country:US
Mailing Address - Phone:717-766-0600
Mailing Address - Fax:717-766-0668
Practice Address - Street 1:11 FLOWERS DR
Practice Address - Street 2:SUITE 100
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-1714
Practice Address - Country:US
Practice Address - Phone:717-766-0600
Practice Address - Fax:717-766-0668
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS029766L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice