Provider Demographics
NPI:1073929063
Name:GUY, VERONICA (DMD)
Entity Type:Individual
Prefix:DR
First Name:VERONICA
Middle Name:
Last Name:GUY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 N LAUREL ST
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29483-6546
Mailing Address - Country:US
Mailing Address - Phone:843-871-6636
Mailing Address - Fax:843-419-6682
Practice Address - Street 1:321 N LAUREL ST
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29483
Practice Address - Country:US
Practice Address - Phone:843-871-6636
Practice Address - Fax:843-419-6682
Is Sole Proprietor?:No
Enumeration Date:2014-07-10
Last Update Date:2018-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC151004122300000X
SC8391122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist