Provider Demographics
NPI:1386704948
Name:GUILD, WILLIAM ELLIOTT (DMD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:ELLIOTT
Last Name:GUILD
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 BENMONT AVENUE
Mailing Address - Street 2:SUITE 21
Mailing Address - City:BENNINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05201
Mailing Address - Country:US
Mailing Address - Phone:802-447-3199
Mailing Address - Fax:802-447-3123
Practice Address - Street 1:160 BENMONT AVENUE
Practice Address - Street 2:SUITE 21
Practice Address - City:BENNINGTON
Practice Address - State:VT
Practice Address - Zip Code:05201
Practice Address - Country:US
Practice Address - Phone:802-447-3199
Practice Address - Fax:802-447-3123
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT20021223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics