Provider Demographics
NPI:1427128842
Name:GUFFEY, VICKI DAVIS (DDS)
Entity type:Individual
Prefix:DR
First Name:VICKI
Middle Name:DAVIS
Last Name:GUFFEY
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 1:529 E GOVERNOR JOHN SEVIER HWY
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-6711
Mailing Address - Country:US
Mailing Address - Phone:865-573-9620
Mailing Address - Fax:865-577-3966
Practice Address - Street 1:529 E GOVERNOR JOHN SEVIER HWY
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-6711
Practice Address - Country:US
Practice Address - Phone:865-573-9620
Practice Address - Fax:865-577-3966
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS0000005155122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist