Provider Demographics
NPI:1801917935
Name:GUEST, DENNIS MARSHALL (DDS)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:MARSHALL
Last Name:GUEST
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 1:4341 PIEDMONT AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611-4766
Mailing Address - Country:US
Mailing Address - Phone:510-654-6714
Mailing Address - Fax:510-420-8357
Practice Address - Street 1:4341 PIEDMONT AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94611-4766
Practice Address - Country:US
Practice Address - Phone:510-654-6714
Practice Address - Fax:510-420-8357
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA240231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice