Provider Demographics
NPI:1073891206
Name:GUFFEE DENTAL ASSOCIATES, INC
Entity Type:Organization
Organization Name:GUFFEE DENTAL ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:BYRON
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:GUFFEE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:864-226-1752
Mailing Address - Street 1:105 PROFESSIONAL COURT
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621
Mailing Address - Country:US
Mailing Address - Phone:864-226-1752
Mailing Address - Fax:864-226-1758
Practice Address - Street 1:105 PROFESSIONAL COURT
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621
Practice Address - Country:US
Practice Address - Phone:864-226-1752
Practice Address - Fax:864-226-1758
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-21
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty