Provider Demographics
NPI:1801964457
Name:GIULIANO, JOSEPH G (DDS)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:G
Last Name:GIULIANO
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 1:191 HAMBURG TPKE
Mailing Address - Street 2:
Mailing Address - City:POMPTON LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07442-2330
Mailing Address - Country:US
Mailing Address - Phone:973-831-0109
Mailing Address - Fax:973-831-6399
Practice Address - Street 1:191 HAMBURG TPKE
Practice Address - Street 2:
Practice Address - City:POMPTON LAKES
Practice Address - State:NJ
Practice Address - Zip Code:07442-2330
Practice Address - Country:US
Practice Address - Phone:973-831-0109
Practice Address - Fax:973-831-6399
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ122461223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry