Healthcare Provider Details

I. General information

NPI: 1093823080
Provider Name (Legal Business Name): WILLIAM R. GIANNI DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 02/04/2025
Certification Date: 02/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2975 TREAT BLVD BLDG D
CONCORD CA
94518-3601
US

IV. Provider business mailing address

2141 DENA DR
CONCORD CA
94519-2222
US

V. Phone/Fax

Practice location:
  • Phone: 925-788-5710
  • Fax:
Mailing address:
  • Phone: 510-848-3143
  • Fax: 510-848-2522

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number23247
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number43695
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: