Provider Demographics
NPI:1861677072
Name:GERMANO, JOSEPH GERALD (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:GERALD
Last Name:GERMANO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:618 N BARRY ST
Mailing Address - Street 2:
Mailing Address - City:OLEAN
Mailing Address - State:NY
Mailing Address - Zip Code:14760-2614
Mailing Address - Country:US
Mailing Address - Phone:716-372-3670
Mailing Address - Fax:
Practice Address - Street 1:618 N BARRY ST
Practice Address - Street 2:
Practice Address - City:OLEAN
Practice Address - State:NY
Practice Address - Zip Code:14760-2614
Practice Address - Country:US
Practice Address - Phone:716-372-3670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-07
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033615122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist