Healthcare Provider Details

I. General information

NPI: 1659505162
Provider Name (Legal Business Name): GIULIA MARIE CASTRIGANO D.M.D., M.S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GIULIA MARIE PAGANO D.M.D., M.S.

II. Dates (important events)

Enumeration Date: 05/12/2009
Last Update Date: 01/19/2024
Certification Date: 01/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 BURNET AVENUE ML 2006
CINCINNATI OH
45229
US

IV. Provider business mailing address

3333 BURNET AVENUE ML 2006
CINCINNATI OH
45229-3026
US

V. Phone/Fax

Practice location:
  • Phone: 513-636-4641
  • Fax: 513-636-8283
Mailing address:
  • Phone: 513-636-4641
  • Fax: 513-636-8283

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number30.022905
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: