Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gillian Ann Degennaro

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1831887124

Gillian Ann Degennaro is a Student in an Organized Health Care Education/Training Program in Goodyear, Arizona. Licensed in Arizona. Registered with an NPI since 2023.

Licensed in
AZ
In the registry since
2023
Specialties on file
2

Practice location Address checks out

781 S Cotton Ln Ste 100
Goodyear, AZ 85338-4644
Phone: (440) 547-3162
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D011895 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1831887124
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 26, 2023
Last updated in NPPESJuly 8, 2023
Certification dateJuly 8, 2023
Mailing address2605 E Date Palm Paseo Apt 2217, Ontario, CA 91764-4699

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