Provider Demographics
NPI:1619543022
Name:DR J GIARDINA AND ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:DR J GIARDINA AND ASSOCIATES, PLLC
Other - Org Name:KRAY AND GIARDINA ORTHODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GIARDINA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MSD
Authorized Official - Phone:239-677-7237
Mailing Address - Street 1:2505A EVELYN BYRD AVE
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-3493
Mailing Address - Country:US
Mailing Address - Phone:540-433-8814
Mailing Address - Fax:
Practice Address - Street 1:2505A EVELYN BYRD AVE
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-3493
Practice Address - Country:US
Practice Address - Phone:540-433-8814
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-27
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental