# MARK GIORNO DMD & ASSOCIATE PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Main Street Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396860524
- **Authorized official:** DR. MARK M GIORNO DMD (OWNER)
- **Authorized official phone:** (856) 678-4400

## Contact information

- **Practice address:** 333 N BROADWAY, PENNSVILLE, NJ 08070-1247
- **Practice address phone:** (856) 678-4400
- **Practice address fax:** (856) 678-4808
- **Mailing address:** 333 N BROADWAY, PENNSVILLE, NJ 08070-1247
- **Mailing address phone:** (856) 678-4400
- **Mailing address fax:** (856) 678-4808

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D1018081 | NJ | Yes |

## Other

- **Enumeration date:** 03/20/2007
- **Last updated:** 08/22/2020