Provider Demographics
NPI:1043492382
Name:GIANNINI, ALESSANDRO A (DDS)
Entity Type:Individual
Prefix:
First Name:ALESSANDRO
Middle Name:A
Last Name:GIANNINI
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 1:8620 S TAMIAMI TRL
Mailing Address - Street 2:SUITE N-P
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34238-3049
Mailing Address - Country:US
Mailing Address - Phone:941-918-4300
Mailing Address - Fax:
Practice Address - Street 1:2260 GULF GATE DR
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-4815
Practice Address - Country:US
Practice Address - Phone:941-923-6777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-28
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN115951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice