Provider Demographics
NPI:1699840199
Name:JAMES A GUINN DMD PC
Entity Type:Organization
Organization Name:JAMES A GUINN DMD PC
Other - Org Name:ARIZONA DENTAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ALBERT
Authorized Official - Last Name:GUINN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:480-748-0938
Mailing Address - Street 1:PO BOX 19267
Mailing Address - Street 2:
Mailing Address - City:NEWBURY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91319
Mailing Address - Country:US
Mailing Address - Phone:480-748-0938
Mailing Address - Fax:
Practice Address - Street 1:3731 S VISTA PL
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85248-5111
Practice Address - Country:US
Practice Address - Phone:480-748-0938
Practice Address - Fax:480-748-0938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2375261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental