Provider Demographics
NPI:1831170497
Name:GUENTHER, DAX ALEXANDER (MD)
Entity type:Individual
Prefix:DR
First Name:DAX
Middle Name:ALEXANDER
Last Name:GUENTHER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2 POND PARK RD STE 308
Mailing Address - Street 2:COASTAL PLASTIC SURGERY LLC
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-4354
Mailing Address - Country:US
Mailing Address - Phone:781-740-7840
Mailing Address - Fax:781-740-9840
Practice Address - Street 1:2 POND PARK RD STE 308
Practice Address - Street 2:COASTAL PLASTIC SURGERY LLC
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043-4354
Practice Address - Country:US
Practice Address - Phone:781-740-7840
Practice Address - Fax:781-740-9840
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-10
Last Update Date:2014-05-06
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Provider Licenses
StateLicense IDTaxonomies
MA219506208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery