Individual
DR. JESSE ROBERT MCGUIRE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S. M.S.
Contact information
Practice address
1981 N PEBBLE CREEK PKWY STE C01, GOODYEAR, AZ 85395-2543
(623) 236-9509
(623) 234-8670
Mailing address
1981 N PEBBLE CREEK PKWY, STE 1, GOODYEAR, AZ 85395
(623) 236-9509
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
008404
AZ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
24509
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2025793-20
—
TX
Enumeration date
01/20/2009
Last updated
08/21/2018
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