Provider Demographics
NPI:1104927771
Name:CONO, GIOVANNI (DDS)
Entity type:Individual
Prefix:DR
First Name:GIOVANNI
Middle Name:
Last Name:CONO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87 SOUTH MAIN STREET
Mailing Address - Street 2:STE 5
Mailing Address - City:NEWTOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06470
Mailing Address - Country:US
Mailing Address - Phone:203-426-5260
Mailing Address - Fax:203-426-6308
Practice Address - Street 1:87 SOUTH MAIN STREET
Practice Address - Street 2:STE 5
Practice Address - City:NEWTOWN
Practice Address - State:CT
Practice Address - Zip Code:06470
Practice Address - Country:US
Practice Address - Phone:203-426-5260
Practice Address - Fax:203-426-6308
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT88421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice