Provider Demographics
NPI:1134286495
Name:GIORDANO, PASQUALE JOSEPH (DDS)
Entity Type:Individual
Prefix:
First Name:PASQUALE
Middle Name:JOSEPH
Last Name:GIORDANO
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 1:2106 N SCOTT ST
Mailing Address - Street 2:#38
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22209
Mailing Address - Country:US
Mailing Address - Phone:703-258-9316
Mailing Address - Fax:
Practice Address - Street 1:2250 CLARENDON BLVD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22201
Practice Address - Country:US
Practice Address - Phone:703-841-0300
Practice Address - Fax:703-841-1570
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014111371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice