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Individual
DR. JESSICA ANNE GUY
Active
Individual
DR. JESSICA ANNE GUY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS036240
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019757410001
—
PA
05
—
1019757410002
—
PA
01
—
105985
DORAL
—
01
—
1659974
UNITED CONCORDIA PROVIDER
PA
01
—
2027012
UNITED CONCORDIA/GATEWAY
—
01
—
238786
UNISON
—
Enumeration date
09/21/2006
Last updated
03/01/2011
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