Provider Demographics
NPI:1760693543
Name:GIULIANI DENTAL
Entity Type:Organization
Organization Name:GIULIANI DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEIGHANN
Authorized Official - Middle Name:
Authorized Official - Last Name:GIULIANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-296-6534
Mailing Address - Street 1:4 W PARK AVE
Mailing Address - Street 2:
Mailing Address - City:WESTOVER
Mailing Address - State:WV
Mailing Address - Zip Code:26501-4525
Mailing Address - Country:US
Mailing Address - Phone:304-296-6534
Mailing Address - Fax:304-292-4915
Practice Address - Street 1:4 W PARK AVE
Practice Address - Street 2:
Practice Address - City:WESTOVER
Practice Address - State:WV
Practice Address - Zip Code:26501-4525
Practice Address - Country:US
Practice Address - Phone:304-296-6534
Practice Address - Fax:304-292-4915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty