Provider Demographics
NPI:1538353941
Name:GISELA K FASHING DDS
Entity type:Organization
Organization Name:GISELA K FASHING DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GISELA
Authorized Official - Middle Name:K
Authorized Official - Last Name:FASHING
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:757-229-8991
Mailing Address - Street 1:325 MCLAWS CIRCLE
Mailing Address - Street 2:SUITE #1
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23185
Mailing Address - Country:US
Mailing Address - Phone:757-229-8991
Mailing Address - Fax:757-229-8914
Practice Address - Street 1:325 MCLAWS CIRCLE
Practice Address - Street 2:SUITE #1
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185
Practice Address - Country:US
Practice Address - Phone:757-229-8991
Practice Address - Fax:757-229-8914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-29
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA5506122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty