Healthcare Provider Details

I. General information

NPI: 1306992649
Provider Name (Legal Business Name): JAMES ROBERT GIORDANO D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/27/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6150 GREENFIELD RD SUITE 200
DEARBORN MI
48126-6003
US

IV. Provider business mailing address

6150 GREENFIELD RD SUITE 200
DEARBORN MI
48126-6003
US

V. Phone/Fax

Practice location:
  • Phone: 313-945-0750
  • Fax: 313-945-0779
Mailing address:
  • Phone: 313-945-0750
  • Fax: 313-945-0779

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number2901013148
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number29010131481365022
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: