# DR. JESSICA ANNE GUY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1508965997
- **Gender:** F
- **Credential:** D.M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS036240 | PA | Yes |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 03/01/2011

## 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 | — |