Provider Demographics
NPI:1952326449
Name:DIGIULIAN, DONALD A (DDS)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:A
Last Name:DIGIULIAN
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 1:1307 MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28401-7502
Mailing Address - Country:US
Mailing Address - Phone:910-763-0210
Mailing Address - Fax:910-763-8220
Practice Address - Street 1:1307 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-7502
Practice Address - Country:US
Practice Address - Phone:910-763-0210
Practice Address - Fax:910-763-8220
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2011-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC81421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice