Provider Demographics
NPI:1528800836
Name:TOMMARELLO, GIANNA (DMD)
Entity type:Individual
Prefix:DR
First Name:GIANNA
Middle Name:
Last Name:TOMMARELLO
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 1:5159 ANDROS DR
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34113-8162
Mailing Address - Country:US
Mailing Address - Phone:412-580-3100
Mailing Address - Fax:
Practice Address - Street 1:2487 S GILBERT RD STE 105
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85295-2800
Practice Address - Country:US
Practice Address - Phone:855-637-9920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-07
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD0122961223G0001X, 122300000X
FLDN290161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty