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NPI Code Detail

MEDICARE: CHRISTOPHER GUIRGUIS DMD

MEDICARE: CHRISTOPHER GUIRGUIS DMD
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
1390200000XStudent in an Organized Health Care Education/Training Program
2122300000XDentist019.032666IL

General Provider Information

NPI Number : 1619504651
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER GUIRGUIS DMD
Provider Business Mailing Address
First Line : 549 FAIR ST # 61-22
Second Line :
City : BLOOMSBURG
State : PA
Zip : 17815-1419
Country : US
Telephone Number : 570-416-1925
Fax Number :
Provider Business Practice Location Address
First Line : 549 FAIR ST # 61-22
Second Line :
City : BLOOMSBURG
State : PA
Zip : 17815-1419
Country : US
Telephone Number : 570-416-1925
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2020
Last Update Date : 04/21/2026

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Directions to “ CHRISTOPHER GUIRGUIS DMD” Practice Location

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