Provider Demographics
NPI:1053431346
Name:GEER, ANDREW CHRISTIAN (DDS)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:CHRISTIAN
Last Name:GEER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:ANDREW
Other - Middle Name:C
Other - Last Name:GEER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:PO BOX 368
Mailing Address - Street 2:
Mailing Address - City:PFAFFTOWN
Mailing Address - State:NC
Mailing Address - Zip Code:27040
Mailing Address - Country:US
Mailing Address - Phone:336-922-2542
Mailing Address - Fax:336-922-1547
Practice Address - Street 1:3745 REYNOLDA RD
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106
Practice Address - Country:US
Practice Address - Phone:336-922-2542
Practice Address - Fax:336-922-1547
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7433122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89902NNMedicaid
NC902NNOtherBCBS