Provider Demographics
NPI:1265468391
Name:GUICE, SCOTT P (DDS)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:P
Last Name:GUICE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9615 NORTHCROSS CENTER CT
Mailing Address - Street 2:SUITE A
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-7300
Mailing Address - Country:US
Mailing Address - Phone:704-895-3858
Mailing Address - Fax:
Practice Address - Street 1:9615 NORTHCROSS CENTER CT
Practice Address - Street 2:SUITE A
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-7300
Practice Address - Country:US
Practice Address - Phone:704-895-3858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2008-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC66731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice