Provider Demographics
NPI:1659472082
Name:GUTER, HANS P (DDS)
Entity Type:Individual
Prefix:DR
First Name:HANS
Middle Name:P
Last Name:GUTER
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 1:598 NORTHRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:CIRCLEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43113-1150
Mailing Address - Country:US
Mailing Address - Phone:740-474-4396
Mailing Address - Fax:740-477-1428
Practice Address - Street 1:598 NORTHRIDGE RD
Practice Address - Street 2:
Practice Address - City:CIRCLEVILLE
Practice Address - State:OH
Practice Address - Zip Code:43113-1150
Practice Address - Country:US
Practice Address - Phone:740-474-4396
Practice Address - Fax:740-477-1428
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH189691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0814720Medicaid