MEDICARE: DR. WILLIAM R. GIANNI DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	23247	CA
2	122300000X	Dentist	43695	CA

General Provider Information

NPI Number	:	1093823080
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM R. GIANNI DDS

Provider Business Mailing Address
First Line	:	2141 DENA DR
Second Line	:
City	:	CONCORD
State	:	CA
Zip	:	94519-2222
Country	:	US
Telephone Number	:	510-848-3143
Fax Number	:	510-848-2522

Provider Business Practice Location Address
First Line	:	2975 TREAT BLVD BLDG D
Second Line	:
City	:	CONCORD
State	:	CA
Zip	:	94518-3601
Country	:	US
Telephone Number	:	925-788-5710
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	02/04/2025

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