Healthcare Provider Details

I. General information

NPI: 1023408564
Provider Name (Legal Business Name): ALEXANDER GEIGER DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/04/2015
Last Update Date: 06/07/2021
Certification Date: 06/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23922 CINCO VILLAGE CENTER BLVD STE 111
KATY TX
77494-6620
US

IV. Provider business mailing address

23922 CINCO VILLAGE CENTER BLVD STE 111
KATY TX
77494-6620
US

V. Phone/Fax

Practice location:
  • Phone: 281-392-1130
  • Fax:
Mailing address:
  • Phone: 281-392-1130
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code204E00000X
TaxonomyOral & Maxillofacial Surgery (D.M.D.)
License Number31884
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number31884
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: