Provider Demographics
NPI:1316476468
Name:GUIDROZ, SYDNEY ELIZABETH (DDS)
Entity type:Individual
Prefix:DR
First Name:SYDNEY
Middle Name:ELIZABETH
Last Name:GUIDROZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4646 MUELLER BLVD APT 4075
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78723-3431
Mailing Address - Country:US
Mailing Address - Phone:601-807-3756
Mailing Address - Fax:
Practice Address - Street 1:3100 S CONGRESS AVE # 1F
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-6462
Practice Address - Country:US
Practice Address - Phone:512-717-3147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-11
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33060122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist