Provider Demographics
NPI:1194167874
Name:GEIGER, LAURA K (DDS)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:K
Last Name:GEIGER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6020 SOUTHEASTERN AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46203-5611
Mailing Address - Country:US
Mailing Address - Phone:317-359-8000
Mailing Address - Fax:317-357-3663
Practice Address - Street 1:6020 SOUTHEASTERN AVE
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46203-5611
Practice Address - Country:US
Practice Address - Phone:317-359-8000
Practice Address - Fax:317-357-3663
Is Sole Proprietor?:No
Enumeration Date:2013-07-23
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12011687A122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist