Dr. Dennis S Gianoli
Oral and Maxillofacial Surgeon
5 Webster Square Road
Berlin
, Connecticut 06037-2326
Dr. Dennis S Gianoli
Oral and Maxillofacial Surgeon
5 Webster Square Road
Berlin
, Connecticut 06037-2326
(860) 828-1485
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Dennis S Gianoli
- 5 Webster Square Road
- Berlin, CT
- Zip : 06037-2326
- Fax : (860) 828-1485
- Phone : (860) 828-3559
Second Address
- Dr. Dennis S Gianoli
- 5 Webster Square Road
- Berlin, CT
- Zip : 06037-2326
- Fax : (860) 828-1485
- Phone : (860) 828-3559
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 4901 | CT |
National Provider Identifier
| NPI | 1003919234 |
|---|---|
| Provider Name | Dr. Dennis S Gianoli |
| First Address | Berlin, CT 06037-2326 |
| Second Address | Berlin, CT 06037-2326 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/09/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2049013 | (05) | CT |
| T23464 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.