Individual
DR. JORDAN GIGLIOTTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, DMD
Contact information
Practice address
2000 6TH AVE S FL 1, BIRMINGHAM, AL 35233-2110
(205) 801-7703
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
ST-000365
AL
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
—
AL
Other
Enumeration date
06/18/2019
Last updated
06/28/2019
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