DR. GILBERT TROY GUAJARDO DMD NPI 1275062788

NPI Information

  • NPI: 1275062788
  • Provider Name: DR. GILBERT TROY GUAJARDO, DMD
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7625 W 159TH ST
    TINLEY PARK, IL
    ZIP 60477
  • Phone: (708) 429-4770

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NPI Details

DR. Gilbert Troy Guajardo, DMD is an oral and maxillofacial surgery dentist in Tinley Park, IL. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Gilbert Troy Guajardo, DMD NPI is 1275062788. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7625 W 159TH ST
TINLEY PARK, IL
ZIP 60477-492
Phone: (708) 429-4770

The NPI 1275062788 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 6/8/2017 and was last updated on 2/10/2023.

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
11223S0112XDentistOral and Maxillofacial Surgery019.033035ILLINOISYes

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: 11/21/2025

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