Provider Demographics
NPI:1114941390
Name:GIORGIO, DOUGLAS JOSEPH (DDS)
Entity Type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:JOSEPH
Last Name:GIORGIO
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 1:6 SKIDAWAY VILLAGE WALK
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31411-2911
Mailing Address - Country:US
Mailing Address - Phone:912-598-8111
Mailing Address - Fax:912-598-8996
Practice Address - Street 1:6 SKIDAWAY VILLAGE WALK
Practice Address - Street 2:SUITE 201
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31411-2911
Practice Address - Country:US
Practice Address - Phone:912-598-8111
Practice Address - Fax:912-598-8996
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA7309122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist