Tammy Giannetta DDS

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

019-026431 Issued in IL

Legal business name

TAMMY GIANNETTA DDS

Practice address

16121 S Farrell Rd
Lockport, IL 60441-8200

Phone

(815) 524-5053

Fax

(815) 552-2064

NPI assigned

Feb 22, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tammy Giannetta, DDS

Title

Dentist/Owner

Phone

(815) 524-5053

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1083073738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16121 S FARRELL RD",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604418200",
            "telephone_number": "815-524-5053",
            "fax_number": "815-552-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16121 S FARRELL RD",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604418200",
            "telephone_number": "815-524-5053",
            "fax_number": "815-552-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMMY GIANNETTA DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "GIANNETTA",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "815-524-5053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019-026431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Lockport, IL
• Providers in Lockport, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.