MRS. DEIDRE EAST GUERRETTAZ DDS NPI 1164586269

NPI Information

NPI: 1164586269
Provider Name: MRS. DEIDRE EAST GUERRETTAZ, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
4809 N PENNSYLVANIA ST
INDPLS, IN
ZIP 46205
Phone: (317) 283-5225
Get Directions

MRS. Deidre East Guerrettaz, DDS is a general practice dentist in Indpls, IN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MRS. Deidre East Guerrettaz, DDS NPI is 1164586269. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4809 N PENNSYLVANIA ST
INDPLS, IN
ZIP 46205
Phone: (317) 283-5225

The enumeration date for this NPI number is 12/21/2006 and was last updated on 3/7/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	12008749	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100120810A	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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