Giganti Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2011027046 Issued in MO

Legal business name

GIGANTI DENTAL

Practice address

317 Elmgrove Ave
Hazelwood, MO 63042-2036

Phone

(314) 839-2824

NPI assigned

Apr 15, 2014

Organization subpart

No

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

Authorized official

Name

Andrea Rae Theohar

Title

Office Manager

Phone

(314) 839-2824

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1891114096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 ELMGROVE AVE",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630422036",
            "telephone_number": "314-839-2824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 ELMGROVE AVE",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630422036",
            "telephone_number": "314-839-2824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIGANTI DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "THEOHAR",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "314-839-2824"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2011027046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Gerard, PT
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• Joan L Gettemeyer, PT
• Malabika Ghosh
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• Joshua G Gilliam, LPC
• Monroe Mitchell Ginsburg, DMD
• George Fleming Glenn, CCP
• Lillie M Glenn, LPC
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• General Practice Dentistry in Hazelwood, MO
• Providers in Hazelwood, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; 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.