Lisa Marie Guerrino, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2920 Issued in SC

Practice address

2170 Savannah Hwy
Charleston, SC 29414-5311

Phone

(843) 571-0117

Fax

(843) 571-0952

NPI assigned

Oct 13, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Charleston Family Dentistry of West Ashley

  • Dental Clinic/Center
  • Charleston, SC
  • NPI 1932711314
  NPD (past)
• W Keith Kirkland

  dba charleston family dental

  • Dentist
  • Charleston, SC
  • NPI 1083883961
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1437249539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 SAVANNAH HWY",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145311",
            "telephone_number": "843-571-0117",
            "fax_number": "843-571-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 SAVANNAH HWY",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145311",
            "telephone_number": "843-571-0117",
            "fax_number": "843-571-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRINO",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX2920",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander Stefano Guareschi
• Charles J Gudas, DPM
• Sai Kiran Gudla
• Kristine Theresa Guerin, ACNP
• Kelly S Guerrero, PA
• Sarah Guerry
• Alexis Angel Lagtapon Guevara, MD
• Orin F Guidry, MD
• Constance Guille, MD
• Marcelo Silveira Guimaraes, MD

• General Practice Dentistry in Charleston, SC
• Providers in Charleston, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.