Individual provider Active NPI

William Fred Guth Jr., D.D.S.

  • General Practice Dentistry
  • Cottonwood, AZ
National Provider Identifier
1598812612
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2562 Issued in AZ
Practice address
322 S Main St
Suite C
Cottonwood, AZ 86326-3693
Phone
(928) 634-9366
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2562 AZ Primary

Addresses

Primary practice location

322 S Main St
Suite C
Cottonwood, AZ 86326-3693

Mailing address

322 S Main St
Suite C
Cottonwood, AZ 86326-3693
Phone (928) 634-9366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150604000004 AZ Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9739400649

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2562AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Bryan J. Shanahan DDS, PC PastSince Nov 30, 2025 Accepting new patients
William Guth DDS General Practice 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598812612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 S MAIN ST",
            "address_2": "SUITE C",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863263693",
            "telephone_number": "928-634-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 S MAIN ST",
            "address_2": "SUITE C",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863263693",
            "telephone_number": "928-634-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTH",
        "first_name": "WILLIAM",
        "middle_name": "FRED",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "2562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood, AZ

Sources for this page

Verify at the official NPI Registry.