James Vincent Guida, DDS
Individual provider Active NPI General Practice Dentistry · Ofallon, MO
NPI 1306912050 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1306912050
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 11836 (MO)
- Practice address
- 310 E Elm Street
Ofallon, MO 63366 - Phone
- (636) 240-6858
- Fax
- (636) 272-4278
- NPI assigned
- Nov 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11836 | MO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Best Care Dental | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11836 | MO | Yes |
Addresses
Primary practice location
310 E Elm Street
Ofallon, MO 63366
Mailing address
310 E Elm Street
Ofallon, MO 63366
Phone (636) 240-6858
Other providers in Ofallon, MO
- Darla J Freiner
- Louis Gaefke
- Elizabeth Gebelein
- John Michael Goodwin
- Lisa N. Greer
- Halie Faye Gulley
- Alexa Gutierrez
- Katherine Seiler Harkess
- Rachel Harris
- Benjamin Eric Hendrix
All providers in Ofallon, MO · General Practice Dentistry in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.