Provider Demographics
NPI:1659490480
Name:GUARNIERI, SALVATORE (DDS)
Entity Type:Individual
Prefix:
First Name:SALVATORE
Middle Name:
Last Name:GUARNIERI
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 1:55 SULLYS TRL
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-3701
Mailing Address - Country:US
Mailing Address - Phone:585-248-2575
Mailing Address - Fax:585-248-5379
Practice Address - Street 1:55 SULLYS TRL
Practice Address - Street 2:
Practice Address - City:PITTSFORD
Practice Address - State:NY
Practice Address - Zip Code:14534-3701
Practice Address - Country:US
Practice Address - Phone:585-248-2575
Practice Address - Fax:585-248-5379
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0362061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice