Vaughn De Guzman, D.M.D.

General Practice Dentistry · Roscoe, IL

Individual Active NPI

NPI number 1104008515

Practice location

5640 Clayton Cir
Roscoe, IL 61073-9503
Phone
(815) 623-7366
Fax
(815) 623-7331

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NPI record

NPI
1104008515
Entity type
Individual (Type 1)
Enumeration date
November 28, 2007
Last updated
November 28, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 019025867 IL

About Dr. De Guzman

Vaughn De Guzman, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 5640 Clayton Cir, Roscoe, IL 61073-9503. The NPI number 1104008515 was assigned on November 28, 2007 and the record was last updated on November 28, 2007.

Dr. De Guzman lists a license in the registry: #019025867 (IL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Vaughn De Guzman, D.M.D.?

The NPI number is 1104008515.

What is the phone number of Dr. De Guzman?

The phone number listed for the practice location is (815) 623-7366.

Where is Dr. De Guzman located?

5640 Clayton Cir, Roscoe, IL 61073-9503.

What is the taxonomy code for Dr. De Guzman?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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