Healthcare Provider Details

I. General information

NPI: 1386027100
Provider Name (Legal Business Name): GINA STRIFFOLINO D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2015
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8476 SIMONDS STREET
FT MEADE MD
20755
US

IV. Provider business mailing address

8476 SIMONDS STREET
FORT MEADE MD
20755
US

V. Phone/Fax

Practice location:
  • Phone: 301-677-6122
  • Fax:
Mailing address:
  • Phone: 443-854-4071
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number15972
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: