Provider Demographics
NPI:1831218924
Name:GUZY, GARY EDWARD (DDS, MSD)
Entity type:Individual
Prefix:DR
First Name:GARY
Middle Name:EDWARD
Last Name:GUZY
Suffix:
Gender:M
Credentials:DDS, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 PATCH RD
Mailing Address - Street 2:
Mailing Address - City:CONTOOCOOK
Mailing Address - State:NH
Mailing Address - Zip Code:03229-2703
Mailing Address - Country:US
Mailing Address - Phone:603-225-9311
Mailing Address - Fax:603-224-5100
Practice Address - Street 1:280 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-2553
Practice Address - Country:US
Practice Address - Phone:603-224-5100
Practice Address - Fax:603-224-5100
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH16571223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics