Provider Demographics
NPI:1053368670
Name:GUILES, CURTIS J (DDS)
Entity type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:J
Last Name:GUILES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:803 NW 12TH ST
Mailing Address - Street 2:
Mailing Address - City:FRUITLAND
Mailing Address - State:ID
Mailing Address - Zip Code:83619-2268
Mailing Address - Country:US
Mailing Address - Phone:208-452-4907
Mailing Address - Fax:208-452-4909
Practice Address - Street 1:803 NW 12TH ST
Practice Address - Street 2:
Practice Address - City:FRUITLAND
Practice Address - State:ID
Practice Address - Zip Code:83619-2268
Practice Address - Country:US
Practice Address - Phone:208-452-4907
Practice Address - Fax:208-452-4909
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-28
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID31461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID820519636OtherEIN