Provider Demographics
NPI:1770998213
Name:TIGANI, JAMES IV (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:TIGANI
Suffix:IV
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 1:1021 GILPIN AVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19806-3270
Mailing Address - Country:US
Mailing Address - Phone:302-571-8740
Mailing Address - Fax:302-571-8755
Practice Address - Street 1:1021 GILPIN AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19806-3270
Practice Address - Country:US
Practice Address - Phone:302-571-8740
Practice Address - Fax:302-571-8755
Is Sole Proprietor?:No
Enumeration Date:2014-06-23
Last Update Date:2015-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IARES-30414122300000X
DEG1-0001363122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist