Active NPI
Steven Charles Guy, DDS
- Periodontics
- Watertown, NY
National Provider Identifier
1396722617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 044825
- Practice address
- 1131 Commerce Park Drive E
Watertown Dental Health Group
Watertown, NY 13601 - Phone
- (315) 788-1070
- Fax
- (315) 785-1039
- NPI assigned
- Dec 28, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 044825 | NY | Primary |
| Periodontics | 1223P0300X | 15589 | OH | |
| Periodontics | 1223P0300X | 8493 | VA |
Addresses
Primary practice location
1131 Commerce Park Drive E
Watertown Dental Health Group
Watertown, NY 13601
Mailing address
205 Oneida Street
Fulton Dental Health Asso
Fulton, NY 13609
Phone (315) 598-3700
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2496913 | Medicaid | NY | |
| 994825 | Other | NY | DELTA DENTAL |
| 890478 | Other | NY | UNITED CONCORDIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15589 | OH | MD | Periodontist |
| 8493 | VA | MD | Periodontist |
| 044825 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Watertown Dental Health Group, PC | Past | Accepting new patients | |
| Fulton Dental Health Assoc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Fulton, NY
- NPI 1932290210
-
- General Practice Dentistry
- Watertown, NY
- NPI 1770653412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1396722617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 ONEIDA STREET",
"address_2": "FULTON DENTAL HEALTH ASSO",
"city": "FULTON",
"state": "NY",
"postal_code": "13609",
"telephone_number": "315-598-3700",
"fax_number": "315-592-4760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1131 COMMERCE PARK DRIVE E",
"address_2": "WATERTOWN DENTAL HEALTH GROUP",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "13601",
"telephone_number": "315-788-1070",
"fax_number": "315-785-1039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUY",
"first_name": "STEVEN",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-28",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NY",
"license": "044825",
"primary": true
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "OH",
"license": "15589",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "VA",
"license": "8493",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2496913",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL",
"identifier": "994825",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "890478",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Watertown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.