Provider Demographics
NPI:1740317023
Name:GIROUX, JACINTHE (DDS)
Entity type:Individual
Prefix:DR
First Name:JACINTHE
Middle Name:
Last Name:GIROUX
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 1:40 PINEHILLS DR APT 1431
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-7832
Mailing Address - Country:US
Mailing Address - Phone:413-575-7649
Mailing Address - Fax:
Practice Address - Street 1:57 FOREST ST
Practice Address - Street 2:
Practice Address - City:MARSHFIELD
Practice Address - State:MA
Practice Address - Zip Code:02050-2818
Practice Address - Country:US
Practice Address - Phone:781-834-7555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA20084122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist