Provider Demographics
NPI:1750039475
Name:DI GIOSIA DDS PLLC
Entity Type:Organization
Organization Name:DI GIOSIA DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MASSIMILIANO
Authorized Official - Middle Name:
Authorized Official - Last Name:DI GIOSIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-386-9780
Mailing Address - Street 1:100 TWO HILLS DR STE 101
Mailing Address - Street 2:
Mailing Address - City:CARRBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27510-2679
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:100 TWO HILLS DR STE 101
Practice Address - Street 2:
Practice Address - City:CARRBORO
Practice Address - State:NC
Practice Address - Zip Code:27510-2679
Practice Address - Country:US
Practice Address - Phone:919-386-9780
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-11
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty