Provider Demographics
NPI:1891081634
Name:GUFFEE, BYRON THOMAS (DMD)
Entity Type:Individual
Prefix:DR
First Name:BYRON
Middle Name:THOMAS
Last Name:GUFFEE
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 1:105 PROFESSIONAL CT
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-2052
Mailing Address - Country:US
Mailing Address - Phone:864-226-1752
Mailing Address - Fax:
Practice Address - Street 1:105 PROFESSIONAL CT
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-2052
Practice Address - Country:US
Practice Address - Phone:864-226-1752
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-20
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC70131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice