Individual provider · NPI-1

Dr. Thomas J Guthrie, DDS

Dentist, General Practice · Peru, IN

NPI number1710082409
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1710082409
Entity type
Individual (NPI-1)
Name
Dr. Thomas J Guthrie
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Sep 14, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice8311INYes

Practice location

5 West Logan Street
Peru, IN 46970

Phone 765-473-9336 · Fax 765-473-9346

Mailing address

5 West Logan Street
Peru, IN 46970

Phone 765-473-9336 · Fax 765-473-9346

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Dentist, General Practice providers in Peru, IN