Provider Demographics
NPI:1215039193
Name:DAVID D GIANINO DDS PC
Entity Type:Organization
Organization Name:DAVID D GIANINO DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:GIANINO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:978-342-8686
Mailing Address - Street 1:40 MASSACHUSETTS AVENUE
Mailing Address - Street 2:
Mailing Address - City:LUNENBURG
Mailing Address - State:MA
Mailing Address - Zip Code:01462-1248
Mailing Address - Country:US
Mailing Address - Phone:978-342-8686
Mailing Address - Fax:978-345-6139
Practice Address - Street 1:40 MASSACHUSETTS AVENUE
Practice Address - Street 2:
Practice Address - City:LUNENBURG
Practice Address - State:MA
Practice Address - Zip Code:01462-1248
Practice Address - Country:US
Practice Address - Phone:978-342-8686
Practice Address - Fax:978-345-6139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA178961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty