Provider Demographics
NPI:1770828535
Name:GIOIA, MARY PALMER (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:PALMER
Last Name:GIOIA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1994 LUMBER AVE
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-5371
Mailing Address - Country:US
Mailing Address - Phone:304-242-8959
Mailing Address - Fax:304-242-8950
Practice Address - Street 1:1994 LUMBER AVE
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-5371
Practice Address - Country:US
Practice Address - Phone:304-242-8959
Practice Address - Fax:304-242-8950
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-05
Last Update Date:2012-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVWV2985122300000X
OH19091122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist