Provider Demographics
NPI:1225424716
Name:GUADAGNI, ELIZABETH MCCUTCHEON CASEY (MD, DMD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:MCCUTCHEON CASEY
Last Name:GUADAGNI
Suffix:
Gender:F
Credentials:MD, DMD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:90 CYPRESS WAY E STE 30
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-9275
Mailing Address - Country:US
Mailing Address - Phone:239-597-3300
Mailing Address - Fax:239-597-8409
Practice Address - Street 1:90 CYPRESS WAY E STE 30
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-9275
Practice Address - Country:US
Practice Address - Phone:239-597-3300
Practice Address - Fax:239-597-8409
Is Sole Proprietor?:No
Enumeration Date:2015-04-10
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN255651223S0112X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program