Provider Demographics
NPI:1518037159
Name:RIBANDO, GUY A III (DDS)
Entity Type:Individual
Prefix:DR
First Name:GUY
Middle Name:A
Last Name:RIBANDO
Suffix:III
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 1:903 NORTHERN SHORE LN
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27455-3467
Mailing Address - Country:US
Mailing Address - Phone:336-282-0770
Mailing Address - Fax:
Practice Address - Street 1:1115 W FRIENDLY AVE STE A
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-6138
Practice Address - Country:US
Practice Address - Phone:336-272-4595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC82201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice