Provider Demographics
NPI:1649347428
Name:GIANNOBILE, WILLIAM VICTOR (DDS MS,DMSC)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:VICTOR
Last Name:GIANNOBILE
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Gender:M
Credentials:DDS MS,DMSC
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Mailing Address - Street 1:HARVARD SCHOOL OF DENTAL MEDICINE,HARVARD DENTAL CENTER
Mailing Address - Street 2:188 LONGWOOD AVENUE
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115
Mailing Address - Country:US
Mailing Address - Phone:617-432-6188
Mailing Address - Fax:617-432-4258
Practice Address - Street 1:HARVARD SCHOOL OF DENTAL MEDICINE,HARVARD DENTAL CENTER
Practice Address - Street 2:188 LONGWOOD AVENUE
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-432-6188
Practice Address - Fax:617-432-4258
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2021-09-15
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Provider Licenses
StateLicense IDTaxonomies
MI0173801223P0300X
MADN180151223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics