Provider Demographics
NPI:1578502670
Name:GUINN, RONEY OTIS W (DDS)
Entity Type:Individual
Prefix:DR
First Name:RONEY
Middle Name:OTIS W
Last Name:GUINN
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 1:4300 CHARLOTTE AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-3606
Mailing Address - Country:US
Mailing Address - Phone:615-298-2488
Mailing Address - Fax:615-298-2653
Practice Address - Street 1:4300 CHARLOTTE AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-3606
Practice Address - Country:US
Practice Address - Phone:615-298-2488
Practice Address - Fax:615-298-2653
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3287122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist