Provider Demographics
NPI:1124242292
Name:GUTMANN, J STEVEN (DDS MS)
Entity type:Individual
Prefix:DR
First Name:J
Middle Name:STEVEN
Last Name:GUTMANN
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Gender:M
Credentials:DDS MS
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Mailing Address - Street 1:6225 BRANDON AVE
Mailing Address - Street 2:185
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22150-2525
Mailing Address - Country:US
Mailing Address - Phone:703-451-4430
Mailing Address - Fax:703-451-4484
Practice Address - Street 1:6225 BRANDON AVE
Practice Address - Street 2:185
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22150-2525
Practice Address - Country:US
Practice Address - Phone:703-451-4430
Practice Address - Fax:703-451-4484
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA44231223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery