Provider Demographics
NPI:1376101253
Name:GUERINGER, SAMMY LOUIS II (DMD)
Entity Type:Individual
Prefix:DR
First Name:SAMMY
Middle Name:LOUIS
Last Name:GUERINGER
Suffix:II
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 1:1651 DALE ST N
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55117-3414
Mailing Address - Country:US
Mailing Address - Phone:651-964-3519
Mailing Address - Fax:
Practice Address - Street 1:1651 DALE ST N
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55117-3414
Practice Address - Country:US
Practice Address - Phone:651-964-3519
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-05
Last Update Date:2019-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND14247122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist