Provider Demographics
NPI:1295981603
Name:GUESS, KENNETH DEAN (DDS)
Entity type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:DEAN
Last Name:GUESS
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 1:2503 SOCO RD.
Mailing Address - Street 2:
Mailing Address - City:MAGGIE VALLEY
Mailing Address - State:NC
Mailing Address - Zip Code:28751
Mailing Address - Country:US
Mailing Address - Phone:828-926-0054
Mailing Address - Fax:828-926-3080
Practice Address - Street 1:2503 SOCO RD.
Practice Address - Street 2:
Practice Address - City:MAGGIE VALLEY
Practice Address - State:NC
Practice Address - Zip Code:28751
Practice Address - Country:US
Practice Address - Phone:828-926-0054
Practice Address - Fax:828-926-3080
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-18
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8153122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist