# GUIDO FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Guido Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609430156
- **Authorized official:** DR. VINCENT MICHAEL GUIDO DDS (OWNER)
- **Authorized official phone:** (765) 448-4242

## Contact information

- **Practice address:** 150 PROFESSIONAL CT STE B, LAFAYETTE, IN 47905-5153
- **Practice address phone:** (765) 448-4242
- **Practice address fax:** (765) 807-3003
- **Mailing address:** 150 PROFESSIONAL CT STE B, LAFAYETTE, IN 47905-5153
- **Mailing address phone:** (765) 448-4242
- **Mailing address fax:** (765) 807-3003

## Taxonomy

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

## Other

- **Enumeration date:** 04/30/2019
- **Last updated:** 04/30/2019