Deidre East Guerrettaz, DDS

General Practice Dentistry · Indpls, IN

Individual Active NPI

NPI number 1164586269

Practice location

4809 N Pennsylvania St
Indpls, IN 46205
Phone
(317) 283-5225

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NPI record

NPI
1164586269
Entity type
Individual (Type 1)
Enumeration date
December 21, 2006
Last updated
March 7, 2013
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 12008749 IN

About Dr. Guerrettaz

Deidre East Guerrettaz, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 4809 N Pennsylvania St, Indpls, IN 46205. The NPI number 1164586269 was assigned on December 21, 2006 and the record was last updated on March 7, 2013.

Dr. Guerrettaz lists a license in the registry: #12008749 (IN) 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 Deidre East Guerrettaz, DDS?

The NPI number is 1164586269.

What is the phone number of Dr. Guerrettaz?

The phone number listed for the practice location is (317) 283-5225.

Where is Dr. Guerrettaz located?

4809 N Pennsylvania St, Indpls, IN 46205.

What is the taxonomy code for Dr. Guerrettaz?

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.