1225031222 NPI number — DR. MICHAEL JOSEPH GIOIA JR. DMD

Table of content: DR. MICHAEL JOSEPH GIOIA JR. DMD (NPI 1225031222)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225031222 NPI number — DR. MICHAEL JOSEPH GIOIA JR. DMD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GIOIA
Provider First Name:
MICHAEL
Provider Middle Name:
JOSEPH
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
JR.
Provider Credential Text:
DMD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1225031222
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
950 GLADES RD
Provider Second Line Business Mailing Address:
STE 1B
Provider Business Mailing Address City Name:
BOCA RATON
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33431-6401
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
561-391-6606
Provider Business Mailing Address Fax Number:
561-391-1953

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
950 GLADES RD
Provider Second Line Business Practice Location Address:
STE 1B
Provider Business Practice Location Address City Name:
BOCA RATON
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33431-6401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
561-391-6606
Provider Business Practice Location Address Fax Number:
561-391-1953
Provider Enumeration Date:
05/23/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223P0700X , with the licence number:  DN0008526 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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