# GINO A GISMONDI DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235544958
- **Authorized official:** MRS. JOCELYN NICOLE VILAIN (OFFICE MANAGER)
- **Authorized official phone:** (304) 622-4828

## Contact information

- **Practice address:** 700 W PIKE ST, SUITE 100, CLARKSBURG, WV 26301-2696
- **Practice address phone:** (304) 622-4828
- **Practice address fax:** (304) 624-0977
- **Mailing address:** 700 W PIKE ST, SUITE 100, CLARKSBURG, WV 26301-2696
- **Mailing address phone:** (304) 622-4828
- **Mailing address fax:** (304) 624-0977

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 3781 | WV | Yes |

## Other

- **Enumeration date:** 06/23/2014
- **Last updated:** 02/03/2016