Guren, Gary Wayne

Guren, Gary Wayne is an individual health care provider with primary practice located at 20508 Southgate Park Blvd , Maple Heights OH 44137-2900. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Guren, Gary Wayne can be contacted via phone (216) 663-2292.

Contact Information

Primary practice address
20508 Southgate Park Blvd Maple Heights OH 44137-2900
Phone: (216) 663-2292
Fax: (216) 663-2294
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 14945 Ohio

Profile Details

NPI number 1245292416
LBN Legal business name Guren, Gary Wayne
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245292416 NPPES
Ohio MEDICAID 0290126
Ohio Other 341940255030

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