Provider Demographics
NPI:1295304400
Name:ALVES, GIANE FREITAS (DDS)
Entity type:Individual
Prefix:
First Name:GIANE
Middle Name:FREITAS
Last Name:ALVES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:GIANE
Other - Middle Name:FREITAS
Other - Last Name:ALVES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:4071 LEE RD STE 260
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44128-2173
Mailing Address - Country:US
Mailing Address - Phone:216-727-1164
Mailing Address - Fax:216-727-1164
Practice Address - Street 1:4071 LEE RD STE 260
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44128-2173
Practice Address - Country:US
Practice Address - Phone:216-727-1164
Practice Address - Fax:216-727-1164
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-22
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH004305122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist