Provider Demographics
NPI:1275563439
Name:GURIN, DOROTHY ELLEN (DMD)
Entity Type:Individual
Prefix:DR
First Name:DOROTHY
Middle Name:ELLEN
Last Name:GURIN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:DEEDEE
Other - Middle Name:
Other - Last Name:GURIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:524 ADAMS ST STE 201
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:MA
Mailing Address - Zip Code:02186-5641
Mailing Address - Country:US
Mailing Address - Phone:617-698-2332
Mailing Address - Fax:617-698-2373
Practice Address - Street 1:4 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:MA
Practice Address - Zip Code:02186-5522
Practice Address - Country:US
Practice Address - Phone:617-698-2332
Practice Address - Fax:617-698-2373
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA19230122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist