Provider Demographics
NPI:1861476905
Name:GRAZIANO, JANELE LYNN (DMD)
Entity Type:Individual
Prefix:DR
First Name:JANELE
Middle Name:LYNN
Last Name:GRAZIANO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:JANELE
Other - Middle Name:LYNN
Other - Last Name:GIBSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:450 GIBNER RD STE 2
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013-5095
Mailing Address - Country:US
Mailing Address - Phone:172-454-5427
Mailing Address - Fax:717-245-3529
Practice Address - Street 1:450 GIBNER RD STE 2
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-5095
Practice Address - Country:US
Practice Address - Phone:717-245-4542
Practice Address - Fax:717-245-3529
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-02
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS036516122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist