Muzamil Gufran, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DS041865 Issued in PA

Practice address

2201 Ridgewood Rd Ste 310
Wyomissing, PA 19610-1192

Phone

(610) 372-8406

NPI assigned

Jun 3, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1679986194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 CONSTON AVE",
            "address_2": "KOOL SMILES/RESOLUTION DENTAL",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240731151",
            "telephone_number": "540-251-1834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 RIDGEWOOD RD STE 310",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101192",
            "telephone_number": "610-372-8406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUFRAN",
        "first_name": "MUZAMIL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-03",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401415159",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS041865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Taylor Grube, AUD
• Elon Megan Gruber, LMFT
• John William Gruber, M.D.
• Joseline Guadalupe
• Laura Guerin, DPM
• Guiding Light Coaching Services
• Amy A Guiles-Lachina, D.O.
• Sarah Guzman Nava, PA-C
• Jesus Guzman, MSW, LSW
• H&H BSQ LLC

• Pediatric Dentistry in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Pediatric Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.