Provider Demographics
NPI:1801170360
Name:GIESLER FAMILY DENTISTRY, PLLC
Entity type:Organization
Organization Name:GIESLER FAMILY DENTISTRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:GIESLER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:903-796-9051
Mailing Address - Street 1:1 BAYOU DR
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:TX
Mailing Address - Zip Code:75551-3402
Mailing Address - Country:US
Mailing Address - Phone:903-796-9051
Mailing Address - Fax:903-799-5475
Practice Address - Street 1:1 BAYOU DR
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:TX
Practice Address - Zip Code:75551-3402
Practice Address - Country:US
Practice Address - Phone:903-796-9051
Practice Address - Fax:903-799-5475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-03
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22385122300000X
TX11083122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty