Individual provider · Type 1 NPI

Gino Anthony Gismondi, DDS

Oral and Maxillofacial Surgery (Dentist) · Clarksburg, WV

NPI number 1225238041 Active

Practice location

700 W Pike St, Suite 100
Clarksburg, WV 26301-2696

Fax (304) 624-0977

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XWV3781 (WV)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X3781 (WV)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1225238041

Gino Anthony Gismondi, DDS's National Provider Identifier is 1225238041, issued on Jul 19, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Clarksburg, WV. The record was last updated on Feb 3, 2016.