Provider Demographics
NPI:1609938984
Name:BAGUIDY, FLAURYSE M (DMD)
Entity Type:Individual
Prefix:MS
First Name:FLAURYSE
Middle Name:M
Last Name:BAGUIDY
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 1:817 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:WATONGA
Mailing Address - State:OK
Mailing Address - Zip Code:73772
Mailing Address - Country:US
Mailing Address - Phone:580-623-9968
Mailing Address - Fax:485-227-9968
Practice Address - Street 1:RR 1 HWY 281 SOUTH
Practice Address - Street 2:USPHS IHS WATONGA HEALTH CENTER
Practice Address - City:WATONGA
Practice Address - State:OK
Practice Address - Zip Code:73772
Practice Address - Country:US
Practice Address - Phone:580-623-4994
Practice Address - Fax:580-623-5490
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist