DR. Stacy A Geisler, DDS PHD

NPI #1538267364 in Lake Oswego, Oregon

Provider Information

NPI Number: 1538267364
Entity Type: Individual
Name: DR. Stacy A Geisler, DDS PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Credential: DDS PHD
Enumeration Date: Sep 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 16699 BOONES FERRY RD
Address 2: SUITE 100
City: Lake Oswego
State: Oregon
ZIP Code: 97035
Phone: (503) 534-0114

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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Organizations

Provider Name	Specialty	City
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