Provider Demographics
NPI:1184065096
Name:GUZAUSKAS, ROBERT (DDS)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:GUZAUSKAS
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 1:4047 OKEECHOBEE BLVD
Mailing Address - Street 2:SUITE 219
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-3239
Mailing Address - Country:US
Mailing Address - Phone:561-640-7600
Mailing Address - Fax:561-640-8265
Practice Address - Street 1:4047 OKEECHOBEE BLVD
Practice Address - Street 2:SUITE 219
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-3239
Practice Address - Country:US
Practice Address - Phone:561-640-7600
Practice Address - Fax:561-640-8265
Is Sole Proprietor?:No
Enumeration Date:2013-07-09
Last Update Date:2013-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL05388122300000X
WI773G122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist