Robert Jeremy Guenter, D.D.S.

Individual provider Active NPI General Practice Dentistry · Salem, UT

NPI 1407089543 · NPPES record last updated Aug 24, 2009

Key facts

NPI
1407089543
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
7362646-9922 (UT)
Practice address
204 E 400 N Ste C
Salem, UT 84653-9320
Phone
(801) 504-6133
NPI assigned
Aug 24, 2009
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
7362646-9922UTMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7362646-9922 UT Yes

Addresses

Primary practice location

204 E 400 N Ste C
Salem, UT 84653-9320

Mailing address

204 E 400 N Ste C
Salem, UT 84653-9320
Phone (801) 504-6133

Other providers in Salem, UT

All providers in Salem, UT · General Practice Dentistry in Utah

Sources for this page

Verify at the official NPI Registry.