Provider Demographics
NPI:1003984626
Name:GIOIA, MIKE (DDS)
Entity Type:Individual
Prefix:DR
First Name:MIKE
Middle Name:
Last Name:GIOIA
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 1:12870 STROH RANCH COURT
Mailing Address - Street 2:#103
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-7408
Mailing Address - Country:US
Mailing Address - Phone:303-840-6543
Mailing Address - Fax:
Practice Address - Street 1:12870 STROH RANCH COURT
Practice Address - Street 2:#103
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-7408
Practice Address - Country:US
Practice Address - Phone:303-840-6543
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO71531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice