Provider Demographics
NPI:1689755639
Name:GESIOTTO, JAMES PAUL (DMD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:PAUL
Last Name:GESIOTTO
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 1:350 S WOOSTER AVE
Mailing Address - Street 2:
Mailing Address - City:STRASBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44680-1142
Mailing Address - Country:US
Mailing Address - Phone:330-878-5922
Mailing Address - Fax:330-878-7622
Practice Address - Street 1:8229 OXFORD CHASE CIR NW
Practice Address - Street 2:
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44646-7868
Practice Address - Country:US
Practice Address - Phone:330-834-1055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH20048122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist