MEDICARE: CATHERINE DIANE GUERRA DDS

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	122300000X	Dentist	7212	CO
2	1223G0001X	General Practice Dentistry	DEN.00007212	CO

General Provider Information

NPI Number	:	1356342174
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE DIANE GUERRA DDS

Provider Business Mailing Address
First Line	:	1359 INTERQUEST PARKWAY
Second Line	:	SUITE 100
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80921-8333
Country	:	US
Telephone Number	:	719-360-2403
Fax Number	:	719-632-6283

Provider Business Practice Location Address
First Line	:	1359 INTERQUEST PARKWAY
Second Line	:	SUITE 100
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80921-8333
Country	:	US
Telephone Number	:	719-374-5496
Fax Number	:	719-900-7795

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

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	03/31/2025

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Directions to “ CATHERINE DIANE GUERRA DDS” Practice Location

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