Individual provider · Type 1 NPI
Giorgio T. Divincenzo, DMD
Periodontics · Jersey City, NJ
NPI number
1396852679
Active
Practice location
312 Academy Street
Jersey City, NJ 07306
Fax (201) 216-1543
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 17226 (NJ) |
| Periodontics | 1223P0300X | 42983 (NY) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Other periodontics providers in Jersey City
About NPI 1396852679
Giorgio T. Divincenzo, DMD's National Provider Identifier is 1396852679, issued on Aug 24, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Jersey City, NJ. The record was last updated on Jun 16, 2014.