Provider Demographics
NPI:1346762556
Name:GUEST, CURTIS MATTHEW (DMD)
Entity Type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:MATTHEW
Last Name:GUEST
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4600 ROSWELL RD UNIT 591
Mailing Address - Street 2:
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30342-3094
Mailing Address - Country:US
Mailing Address - Phone:404-368-3206
Mailing Address - Fax:
Practice Address - Street 1:1624 PIEDMONT AVE NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30324-5240
Practice Address - Country:US
Practice Address - Phone:404-874-7428
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-10
Last Update Date:2017-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN015480122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist