Provider Demographics
NPI:1538486204
Name:GUZMAN, ROCIO D (DMD)
Entity Type:Individual
Prefix:DR
First Name:ROCIO
Middle Name:D
Last Name:GUZMAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 FIRETOWN RD
Mailing Address - Street 2:
Mailing Address - City:SIMSBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06070-1627
Mailing Address - Country:US
Mailing Address - Phone:860-878-1573
Mailing Address - Fax:
Practice Address - Street 1:1323 US HIGHWAY 72 E
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:AL
Practice Address - Zip Code:35611-4503
Practice Address - Country:US
Practice Address - Phone:256-444-3201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-21
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA474801223G0001X
ALD-0006566-C1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice