Provider Demographics
NPI:1154543031
Name:GUERINO, GENE SALVATORE (DDS)
Entity type:Individual
Prefix:DR
First Name:GENE
Middle Name:SALVATORE
Last Name:GUERINO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:GENE
Other - Middle Name:SALVATORE
Other - Last Name:GUERINO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:106-A COMMONS WAY
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755
Mailing Address - Country:US
Mailing Address - Phone:732-473-9433
Mailing Address - Fax:732-473-1707
Practice Address - Street 1:106-A COMMONS WAY
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755
Practice Address - Country:US
Practice Address - Phone:732-473-9433
Practice Address - Fax:732-473-1707
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI14843122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist