Provider Demographics
NPI:1801935713
Name:GIORGETTI, PAUL J (DDS, PA)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:J
Last Name:GIORGETTI
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Gender:M
Credentials:DDS, PA
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Mailing Address - Street 1:1617 S TUTTLE AVE
Mailing Address - Street 2:SUITE 2B
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-3132
Mailing Address - Country:US
Mailing Address - Phone:941-366-1612
Mailing Address - Fax:941-365-7806
Practice Address - Street 1:1617 S TUTTLE AVE
Practice Address - Street 2:SUITE 2B
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-3132
Practice Address - Country:US
Practice Address - Phone:941-366-1612
Practice Address - Fax:941-365-7806
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL47871223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics