Basic Information
| Provider Information | |||||||||
| NPI: | 1508891854 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GIOVANNITTI | ||||||||
| FirstName: | JOSEPH | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | D.M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 198 DELAWARE TRL | ||||||||
| Address2: | |||||||||
| City: | VENETIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 153671015 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7249423228 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 3501 TERRACE ST | ||||||||
| Address2: | G-89 SALK HALL | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152610001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4126488609 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/12/2006 | ||||||||
| LastUpdateDate: | 06/04/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 122300000X | DS020309L | PA | N | Dental Providers | Dentist | 122300000X | 13252 | TX | N | Dental Providers | Dentist | 122300000X | 30022183 | OH | N | Dental Providers | Dentist | 122300000X | 3657 | WV | N | Dental Providers | Dentist | 1223D0004X | DS020309L | PA | Y |
No ID Information.