Provider Demographics
NPI:1811161441
Name:DOUGLAS F. GEIGER
Entity type:Organization
Organization Name:DOUGLAS F. GEIGER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DOOUGLAS
Authorized Official - Middle Name:F
Authorized Official - Last Name:GEIGER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:704-889-7395
Mailing Address - Street 1:321 S POLK ST
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:PINEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28134-7448
Mailing Address - Country:US
Mailing Address - Phone:704-889-7395
Mailing Address - Fax:704-889-7396
Practice Address - Street 1:321 S POLK ST
Practice Address - Street 2:SUITE 2A
Practice Address - City:PINEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28134-7448
Practice Address - Country:US
Practice Address - Phone:704-889-7395
Practice Address - Fax:704-889-7396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty