MEDICARE: WILLIAM J. GIOIELLO D.D.S, INC.

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	1223G0001X	General Practice Dentistry	18762	OH

General Provider Information

NPI Number	:	1578627741
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAM J. GIOIELLO D.D.S, INC.

Provider Business Mailing Address
First Line	:	7135 OLD TROY PIKE
Second Line	:
City	:	HUBER HEIGHTS
State	:	OH
Zip	:	45424-2658
Country	:	US
Telephone Number	:	937-237-9211
Fax Number	:	937-237-5399

Provider Business Practice Location Address
First Line	:	7135 OLD TROY PIKE
Second Line	:
City	:	HUBER HEIGHTS
State	:	OH
Zip	:	45424-2658
Country	:	US
Telephone Number	:	937-237-9211
Fax Number	:	937-237-5399

Authorized Official
Title or Position	:	OWNER
Name	:	DR. WILLIAM J. GIOIELLO
Credential	:	D.D.S. INC.
Telephone Number	:	937-237-9211

Provider Enumeration Date	:	12/21/2006
Last Update Date	:	07/29/2008

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