Provider Demographics
NPI:1508973959
Name:MCGUFFEY, CORTE ALEXANDER (DDS)
Entity Type:Individual
Prefix:DR
First Name:CORTE
Middle Name:ALEXANDER
Last Name:MCGUFFEY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2922 67TH AVE
Mailing Address - Street 2:STE 102
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-9633
Mailing Address - Country:US
Mailing Address - Phone:970-330-9900
Mailing Address - Fax:
Practice Address - Street 1:2922 67TH AVE
Practice Address - Street 2:STE 102
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-9633
Practice Address - Country:US
Practice Address - Phone:970-330-9900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO91931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice