Provider Demographics
NPI:1336527019
Name:ROBERT F GUYETTE, MD, DMD, PC
Entity Type:Organization
Organization Name:ROBERT F GUYETTE, MD, DMD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:F
Authorized Official - Last Name:GUYETTE
Authorized Official - Suffix:
Authorized Official - Credentials:MD, DMD
Authorized Official - Phone:480-657-7065
Mailing Address - Street 1:9741 N 90TH PL
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-5096
Mailing Address - Country:US
Mailing Address - Phone:480-657-7065
Mailing Address - Fax:480-657-7066
Practice Address - Street 1:9741 N 90TH PL
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-5096
Practice Address - Country:US
Practice Address - Phone:480-657-7065
Practice Address - Fax:480-657-7066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-13
Last Update Date:2015-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ40841223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty