Provider Demographics
NPI:1609895721
Name:GUIDO & BAIR, L.L.C.
Entity type:Organization
Organization Name:GUIDO & BAIR, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:BAIR
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:973-779-4088
Mailing Address - Street 1:2 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LODI
Mailing Address - State:NJ
Mailing Address - Zip Code:07644-2228
Mailing Address - Country:US
Mailing Address - Phone:973-779-4088
Mailing Address - Fax:973-778-2265
Practice Address - Street 1:2 S MAIN ST
Practice Address - Street 2:
Practice Address - City:LODI
Practice Address - State:NJ
Practice Address - Zip Code:07644-2228
Practice Address - Country:US
Practice Address - Phone:973-779-4088
Practice Address - Fax:973-778-2265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI017422001223G0001X
NJ22DI010434001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty