Giannina, Gwen
Giannina, Gwen is an individual health care provider with primary practice located at 1173 Kennedy Blvd , Bayonne NJ 07002-3132. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Giannina, Gwen can be contacted via phone (201) 339-1177.Contact Information
Primary practice address
1173 Kennedy Blvd
Bayonne NJ 07002-3132
Phone: (201) 339-1177
Fax: (201) 339-2120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 057765 | New York |
| Dental Providers / General Practice | 1223G0001X | 20518 | New Jersey |
| Dental Providers / General Practice | 1223G0001X | 22DI02051800 | New Jersey |
Profile Details
| NPI number | 1376544205 |
|---|---|
| LBN Legal business name | Giannina, Gwen |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Dec 13th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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