Provider Demographics
NPI:1417043282
Name:WEBB, GIAO V
Entity Type:Individual
Prefix:DR
First Name:GIAO
Middle Name:V
Last Name:WEBB
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2804 CAMBRAI CIR
Mailing Address - Street 2:
Mailing Address - City:OCEAN SPRINGS
Mailing Address - State:MI
Mailing Address - Zip Code:39564
Mailing Address - Country:US
Mailing Address - Phone:228-872-8883
Mailing Address - Fax:
Practice Address - Street 1:KEESLER AFB
Practice Address - Street 2:606 FISHER ST
Practice Address - City:BILOXI
Practice Address - State:MI
Practice Address - Zip Code:39534
Practice Address - Country:US
Practice Address - Phone:228-376-5148
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX175241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice