Provider Demographics
NPI:1912495003
Name:MATTHEW GUARINO DMD PLLC
Entity Type:Organization
Organization Name:MATTHEW GUARINO DMD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:GUARINO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:781-690-1839
Mailing Address - Street 1:75 MCKINLEY AVE APT B2-8
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10606-1667
Mailing Address - Country:US
Mailing Address - Phone:781-690-1839
Mailing Address - Fax:
Practice Address - Street 1:2000 MAPLE HILL ST STE 201
Practice Address - Street 2:
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-4142
Practice Address - Country:US
Practice Address - Phone:781-690-1839
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-25
Last Update Date:2018-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental