MEDICARE: CATHERINE A GEISLER DDS

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	1223G0001X	General Practice Dentistry	30.022878	OH
2	122300000X	Dentist	30-022878	OH
3	122300000X	Dentist	022878	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	30.022878	OTHER	OH	OH

General Provider Information

NPI Number	:	1063677177
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE A GEISLER DDS

Provider Business Mailing Address
First Line	:	1229 NAPOLEON
Second Line	:
City	:	FREMONT
State	:	OH
Zip	:	43420
Country	:	US
Telephone Number	:	734-674-6697
Fax Number	:	419-724-1651

Provider Business Practice Location Address
First Line	:	1642 RALSTON CIRCLE
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43615-3801
Country	:	US
Telephone Number	:	419-536-7265
Fax Number	:	419-724-1651

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

Provider Enumeration Date	:	07/29/2008
Last Update Date	:	09/22/2010

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