Individual
MATTHEW GUFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
820 S MUSTANG RD, YUKON, OK 73099-6767
(405) 577-2444
Mailing address
3109 BIRCH BARK LN, OKLAHOMA CITY, OK 73120-5357
(405) 651-7350
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6827
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200658620
—
OK
Enumeration date
07/19/2016
Last updated
10/06/2019
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