Provider Demographics
NPI:1912187295
Name:GUARD, DENNIS WRIGHT (DDS)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:WRIGHT
Last Name:GUARD
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 1:101 RIDGELY AVE
Mailing Address - Street 2:SUITE 22A
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-1409
Mailing Address - Country:US
Mailing Address - Phone:410-268-5751
Mailing Address - Fax:410-267-7044
Practice Address - Street 1:101 RIDGELY AVE
Practice Address - Street 2:SUITE 22A
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-1409
Practice Address - Country:US
Practice Address - Phone:410-268-5751
Practice Address - Fax:410-267-7044
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-05
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD40281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice