Gismondi, Gino Anthony

Gismondi, Gino Anthony is an sole proprietor health care provider with primary practice located at 700 W Pike St Suite 100, Clarksburg WV 26301-2696. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Gismondi, Gino Anthony can be contacted via phone (304) 622-4828.

Contact Information

Primary practice address
700 W Pike St Suite 100 Clarksburg WV 26301-2696
Phone: (304) 622-4828
Fax: (304) 624-0977
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X WV3781 West Virginia
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 3781 West Virginia

Profile Details

NPI number 1225238041
LBN Legal business name Gismondi, Gino Anthony
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2007
Last updated Feb 3rd, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225238041 NPPES
West Virginia MEDICAID 3810026369
West Virginia Other 002997279

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