Healthcare Provider Details

I. General information

NPI: 1063677177
Provider Name (Legal Business Name): CATHERINE A GEISLER DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CATHERINE A CALDERON DDS

II. Dates (important events)

Enumeration Date: 07/29/2008
Last Update Date: 09/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1642 RALSTON CIRCLE
TOLEDO OH
43615-3801
US

IV. Provider business mailing address

1229 NAPOLEON
FREMONT OH
43420
US

V. Phone/Fax

Practice location:
  • Phone: 419-536-7265
  • Fax: 419-724-1651
Mailing address:
  • Phone: 734-674-6697
  • Fax: 419-724-1651

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number30-022878
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number022878
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number30.022878
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: