# DENNIS S GIANOLI DDS PC

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

## Provider details

- **NPI number:** 1922285881
- **Authorized official:** DR. DENNIS S GIANOLI DDS (ORAL MAXILLOFACIAL SURGEON)
- **Authorized official phone:** (860) 828-3559

## Contact information

- **Practice address:** 5 WEBSTER SQUARE ROAD, BERLIN, CT 06037
- **Practice address phone:** (860) 828-3559
- **Practice address fax:** (860) 828-1485
- **Mailing address:** 5 WEBSTER SQUARE ROAD, BERLIN, CT 06037
- **Mailing address phone:** (860) 828-3559
- **Mailing address fax:** (860) 828-1485

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 4901 | CT | Yes |

## Other

- **Enumeration date:** 01/23/2008
- **Last updated:** 01/23/2008