MEDICARE: DR. GIAN PIETRO SCHINCAGLIA

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	1223P0300X	Periodontics	4206	WV
2	1223P0300X	Periodontics	30.026686	OH

General Provider Information

NPI Number	:	1285804260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GIAN PIETRO SCHINCAGLIA

Provider Business Mailing Address
First Line	:	9601 CHESTER AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-1666
Country	:	US
Telephone Number	:	216-368-4422
Fax Number	:

Provider Business Practice Location Address
First Line	:	9601 CHESTER AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-1666
Country	:	US
Telephone Number	:	216-368-4412
Fax Number	:

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

Provider Enumeration Date	:	03/06/2008
Last Update Date	:	06/07/2022

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