Provider Demographics
NPI:1528087723
Name:GIANNINI GRAY DENTAL PARTNERS PC
Entity type:Organization
Organization Name:GIANNINI GRAY DENTAL PARTNERS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:T
Authorized Official - Last Name:GIANNINI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:202-244-4111
Mailing Address - Street 1:4801 WISCONSIN AVE NW STE 200
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-4647
Mailing Address - Country:US
Mailing Address - Phone:202-244-4111
Mailing Address - Fax:202-244-6389
Practice Address - Street 1:4801 WISCONSIN AVE NW STE 200
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-4647
Practice Address - Country:US
Practice Address - Phone:202-244-4111
Practice Address - Fax:202-244-6389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2013-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental