Provider Demographics
NPI:1154388916
Name:KAISER, GIANG P (DMD)
Entity type:Individual
Prefix:
First Name:GIANG
Middle Name:P
Last Name:KAISER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2584 W SR 426
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-7655
Mailing Address - Country:US
Mailing Address - Phone:407-671-8901
Mailing Address - Fax:407-677-6368
Practice Address - Street 1:2584 W SR 426 UNIT 1020
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-7693
Practice Address - Country:US
Practice Address - Phone:407-671-8901
Practice Address - Fax:407-677-6368
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-27
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL149211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1154388916OtherGENERAL DENTISTRY