MEDICARE: DR. JOSEPH ANTHONY GUIDO D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry	8628	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154522878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH ANTHONY GUIDO D.D.S.

Provider Business Mailing Address
First Line	:	260 E HORSETOOTH RD
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-3124
Country	:	US
Telephone Number	:	970-224-3600
Fax Number	:

Provider Business Practice Location Address
First Line	:	260 E HORSETOOTH RD
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-3124
Country	:	US
Telephone Number	:	970-224-3600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2007
Last Update Date	:	01/04/2023

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Directions to “ DR. JOSEPH ANTHONY GUIDO D.D.S.” Practice Location

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