Provider Demographics
NPI:1801009360
Name:GELLER, BRETT M (DMD)
Entity type:Individual
Prefix:
First Name:BRETT
Middle Name:M
Last Name:GELLER
Suffix:
Gender:M
Credentials:DMD
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Mailing Address - Street 1:1521 8TH AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18018-1865
Mailing Address - Country:US
Mailing Address - Phone:610-865-8077
Mailing Address - Fax:610-865-8112
Practice Address - Street 1:1521 8TH AVENUE
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018
Practice Address - Country:US
Practice Address - Phone:610-865-8077
Practice Address - Fax:610-865-8112
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2009-03-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PADS0371051223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery