Provider Demographics
NPI:1609752575
Name:PRECISION PERIODONTICS AND IMPLANT CENTER PLLC
Entity type:Organization
Organization Name:PRECISION PERIODONTICS AND IMPLANT CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:GUZE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:617-721-0707
Mailing Address - Street 1:15 LARCHMONT LN
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02420-4406
Mailing Address - Country:US
Mailing Address - Phone:617-721-0707
Mailing Address - Fax:617-721-0707
Practice Address - Street 1:213 MAIN ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:MA
Practice Address - Zip Code:01887-2302
Practice Address - Country:US
Practice Address - Phone:617-721-0707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty