Provider Demographics
NPI:1205364890
Name:THER GUTER CENTERE FOR FAMILY AND COSMETIC DENTISTRY INC.
Entity Type:Organization
Organization Name:THER GUTER CENTERE FOR FAMILY AND COSMETIC DENTISTRY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HANS
Authorized Official - Middle Name:PETER
Authorized Official - Last Name:GUTER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:740-474-4396
Mailing Address - Street 1:598 NORTHRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:CIRCLEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43113-1150
Mailing Address - Country:US
Mailing Address - Phone:740-474-4396
Mailing Address - Fax:740-477-1428
Practice Address - Street 1:598 NORTHRIDGE RD
Practice Address - Street 2:
Practice Address - City:CIRCLEVILLE
Practice Address - State:OH
Practice Address - Zip Code:43113-1150
Practice Address - Country:US
Practice Address - Phone:740-474-4396
Practice Address - Fax:740-477-1428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental