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NPI Code Detail

MEDICARE: DR. SELMA B GUTTIN DDS

MEDICARE: DR. SELMA B GUTTIN 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
11223G0001XGeneral Practice Dentistry16907TX
2122300000XDentist16907TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2G6001001OTHERCADELTA DENTAL

General Provider Information

NPI Number : 1992827836
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SELMA B GUTTIN DDS
Provider Business Mailing Address
First Line : 4501 GROVEWAY
Second Line :
City : HOUSTON
State : TX
Zip : 77087
Country : US
Telephone Number : 713-641-1118
Fax Number : 713-640-2221
Provider Business Practice Location Address
First Line : 4501 GROVEWAY DR
Second Line :
City : HOUSTON
State : TX
Zip : 77087-1122
Country : US
Telephone Number : 713-641-1118
Fax Number : 713-640-2221
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2007
Last Update Date : 06/17/2024

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