Provider Demographics
NPI:1407934854
Name:GIOFFRE, MOLLIE HANNA (DDS)
Entity Type:Individual
Prefix:DR
First Name:MOLLIE
Middle Name:HANNA
Last Name:GIOFFRE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:809 VIRGINIA AVE
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23451-4647
Mailing Address - Country:US
Mailing Address - Phone:757-509-2492
Mailing Address - Fax:
Practice Address - Street 1:2129 GENERAL BOOTH BLVD STE 117
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-5872
Practice Address - Country:US
Practice Address - Phone:757-509-2492
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401411571122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist