Provider Demographics
NPI:1306225099
Name:GUERRA, NATALIE (DDS)
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:
Last Name:GUERRA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 NW 136TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33182-1915
Mailing Address - Country:US
Mailing Address - Phone:786-365-9144
Mailing Address - Fax:305-221-0103
Practice Address - Street 1:11880 SW 40 ST
Practice Address - Street 2:STE.302
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-3317
Practice Address - Country:US
Practice Address - Phone:305-221-0102
Practice Address - Fax:305-221-0103
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
FLDN22926122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program