Provider Demographics
NPI:1336430784
Name:GESHAY, JAMES B (DDS)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:B
Last Name:GESHAY
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 1:634 PITTSBURGH RD
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-2214
Mailing Address - Country:US
Mailing Address - Phone:724-439-1576
Mailing Address - Fax:724-438-7007
Practice Address - Street 1:634 PITTSBURGH RD
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-2214
Practice Address - Country:US
Practice Address - Phone:724-439-1576
Practice Address - Fax:724-438-7007
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-20
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS022241L1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0009326300002Medicaid
PA0009326300002Medicaid