William Victor Giannobile, DDS MS,DMSC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN18015 Issued in MA

Practice address

Harvard School of Dental Medicine,Harvard Dental Center
188 Longwood Avenue
Boston, MA 02115

Phone

(617) 432-6188

Fax

(617) 432-4258

NPI assigned

Nov 29, 2006

Last updated

Sep 15, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00414

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dermatology Institute of Detroit PLLC

  • MOHS-Micrographic Surgery Physician
  • Dearborn, MI
  • NPI 1326725524
  NPD (past)
• Periodontic PLLC

  • Periodontics
  • Wyandotte, MI
  • NPI 1205014669
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1649347428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HARVARD SCHOOL OF DENTAL MEDICINE,HARVARD DENTAL CENTER",
            "address_2": "188 LONGWOOD AVENUE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02115",
            "telephone_number": "617-432-6188",
            "fax_number": "617-432-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HARVARD SCHOOL OF DENTAL MEDICINE,HARVARD DENTAL CENTER",
            "address_2": "188 LONGWOOD AVENUE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02115",
            "telephone_number": "617-432-6188",
            "fax_number": "617-432-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANNOBILE",
        "first_name": "WILLIAM",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "DDS MS,DMSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MI",
            "license": "017380",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "DN18015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aislinn Giangregorio, NP-C
• Kostantina Tina Giannacopoulos, DMD
• Marios Giannakis, MD
• Matthew Paul Giannetti, M.D.
• Stefano Gianni, MD
• Erica Giannotti
• Stephanie Gianoukos, MD
• David James Giard, PSYD
• Alison Giardina, NP
• Angela Ann Giardino, MD

• Periodontics in Boston, MA
• Providers in Boston, MA by specialty
• Periodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.