Provider Demographics
NPI:1346254349
Name:SAPONARI, GINO G (DMD)
Entity Type:Individual
Prefix:DR
First Name:GINO
Middle Name:G
Last Name:SAPONARI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 PROFESSIONAL CT
Mailing Address - Street 2:
Mailing Address - City:ELBERTON
Mailing Address - State:GA
Mailing Address - Zip Code:30635-1824
Mailing Address - Country:US
Mailing Address - Phone:706-283-3505
Mailing Address - Fax:706-283-3512
Practice Address - Street 1:2 PROFESSIONAL CT
Practice Address - Street 2:
Practice Address - City:ELBERTON
Practice Address - State:GA
Practice Address - Zip Code:30635-1824
Practice Address - Country:US
Practice Address - Phone:706-283-3505
Practice Address - Fax:706-283-3512
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA011570122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist