Provider Demographics
NPI:1346400702
Name:GUZZO, CHELSEA K (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHELSEA
Middle Name:K
Last Name:GUZZO
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 1:1036 BAYSIDE DR
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49686-9205
Mailing Address - Country:US
Mailing Address - Phone:309-558-7874
Mailing Address - Fax:
Practice Address - Street 1:2266 FRANKFORT HWY
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:MI
Practice Address - Zip Code:49635-9292
Practice Address - Country:US
Practice Address - Phone:231-352-9221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-10
Last Update Date:2016-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901021763122300000X
WI6267-15122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist