Provider Demographics
NPI:1043574072
Name:DAVID M JULIANI DDS PLLC
Entity Type:Organization
Organization Name:DAVID M JULIANI DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:M
Authorized Official - Last Name:JULIANI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:248-651-2273
Mailing Address - Street 1:441 S LIVERNOIS RD
Mailing Address - Street 2:SUITE 185
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-2584
Mailing Address - Country:US
Mailing Address - Phone:248-651-2273
Mailing Address - Fax:248-651-2976
Practice Address - Street 1:441 S LIVERNOIS RD
Practice Address - Street 2:SUITE 185
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-2584
Practice Address - Country:US
Practice Address - Phone:248-651-2273
Practice Address - Fax:248-651-2976
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-25
Last Update Date:2012-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI164531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty