Provider Demographics
NPI:1548276447
Name:GEISTER, JAMES STEVEN (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:STEVEN
Last Name:GEISTER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66611 VAN DYKE RD
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:48095-2021
Mailing Address - Country:US
Mailing Address - Phone:586-752-4545
Mailing Address - Fax:586-752-5369
Practice Address - Street 1:66611 VAN DYKE RD
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:MI
Practice Address - Zip Code:48095-2021
Practice Address - Country:US
Practice Address - Phone:586-752-4545
Practice Address - Fax:586-752-5369
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010111991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice