Provider Demographics
NPI:1134251127
Name:GEIER, ELIZABETH KAY (DMD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:KAY
Last Name:GEIER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 ARCADE UNIT 198747
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37219-1994
Mailing Address - Country:US
Mailing Address - Phone:615-753-0343
Mailing Address - Fax:615-986-1705
Practice Address - Street 1:1860 SEYMOUR AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45237-4002
Practice Address - Country:US
Practice Address - Phone:513-841-1000
Practice Address - Fax:513-841-1004
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2013-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190271241223G0001X
NMDD29471223G0001X
OH30-0232921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0051840Medicaid