Provider Demographics
NPI:1447878756
Name:GUESS, NATHAN WILLIAM (DDS)
Entity type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:WILLIAM
Last Name:GUESS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3905 UNIVERSITY BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75701-6610
Mailing Address - Country:US
Mailing Address - Phone:903-592-6535
Mailing Address - Fax:
Practice Address - Street 1:3905 UNIVERSITY BLVD STE 200
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-6610
Practice Address - Country:US
Practice Address - Phone:903-592-6535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-13
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX35929122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist