MEDICARE: CHRISTINA GEIER RDH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	124Q00000X	Dental Hygienist	DH19828	FL

General Provider Information

NPI Number	:	1447856281
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA GEIER RDH

Provider Business Mailing Address
First Line	:	8906 N RIVER RD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33635-9104
Country	:	US
Telephone Number	:	727-743-2522
Fax Number	:

Provider Business Practice Location Address
First Line	:	3150 TAMPA RD STE 4
Second Line	:
City	:	OLDSMAR
State	:	FL
Zip	:	34677-2291
Country	:	US
Telephone Number	:	727-787-0202
Fax Number	:	727-785-2374

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2020
Last Update Date	:	12/08/2020

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