Guerra Family Dental Co.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

019027613 Issued in IL

Legal business name

GUERRA FAMILY DENTAL CO.

Practice address

5318 W Devon Ave
Chicago, IL 60646-4108

Phone

(773) 763-6116

Fax

(773) 894-0341

NPI assigned

Jun 1, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Richard Guerra, D.D.S

Title

President

Phone

(773) 763-6116

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243814400000",
    "number": "1982830220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5318 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464108",
            "telephone_number": "773-763-6116",
            "fax_number": "773-894-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5318 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464108",
            "telephone_number": "773-763-6116",
            "fax_number": "773-894-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUERRA FAMILY DENTAL CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-01",
        "last_updated": "2009-06-01",
        "status": "A",
        "authorized_official_last_name": "GUERRA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-763-6116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019027613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miren Itziar Guereca
• Rosario Guereca
• Renaud Marcel Gueret, M.D.
• Ariel Guernica, LSW
• Emily Kathryn Guernsey
• Ines Guerra Lau
• Bonita R Guerra, LCPC
• Dorian F Guerra, M.D.
• Elena Mishel Guerra, PHARM.D
• Genia Guerra

• Dental Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; 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.