Provider Demographics
NPI:1689881609
Name:GUIRY, CLINTON C (DMD)
Entity Type:Individual
Prefix:DR
First Name:CLINTON
Middle Name:C
Last Name:GUIRY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:566 MITCHELL HILL RD, MASON
Mailing Address - Street 2:
Mailing Address - City:WILTON
Mailing Address - State:NH
Mailing Address - Zip Code:03086-8001
Mailing Address - Country:US
Mailing Address - Phone:603-654-6155
Mailing Address - Fax:
Practice Address - Street 1:566 MITCHELL HILL RD, MASON
Practice Address - Street 2:
Practice Address - City:WILTON
Practice Address - State:NH
Practice Address - Zip Code:03086
Practice Address - Country:US
Practice Address - Phone:603-654-6155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH22211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice