Mcguire, Jesse Robert

Mcguire, Jesse Robert is an individual health care provider with primary practice located at 1981 N Pebble Creek Pkwy Ste C01 , Goodyear AZ 85395-2543. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Mcguire, Jesse Robert can be contacted via phone (623) 236-9509.

Contact Information

Primary practice address
1981 N Pebble Creek Pkwy Ste C01 Goodyear AZ 85395-2543
Phone: (623) 236-9509
Fax: (623) 234-8670
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 24509 Texas
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 008404 Arizona

Profile Details

NPI number 1376780973
LBN Legal business name Mcguire, Jesse Robert
Credentials D.D.S. M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2009
Last updated Aug 21st, 2018 - about 6 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 1376780973 NPPES
Texas MEDICAID 2025793-20

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