Provider Demographics
NPI:1295843829
Name:DUGUID, JOHN OWEN
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:OWEN
Last Name:DUGUID
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:908 SOUTH MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BEL AN
Mailing Address - State:MD
Mailing Address - Zip Code:21014-5438
Mailing Address - Country:US
Mailing Address - Phone:410-838-7070
Mailing Address - Fax:
Practice Address - Street 1:908 SOUTH MAIN ST
Practice Address - Street 2:
Practice Address - City:BEL AN
Practice Address - State:MD
Practice Address - Zip Code:21014-5438
Practice Address - Country:US
Practice Address - Phone:410-838-7070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD6231122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist