Provider Demographics
NPI:1427497940
Name:GURR, KRIS (DDS)
Entity type:Individual
Prefix:DR
First Name:KRIS
Middle Name:
Last Name:GURR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1525 S. CREEL DR.
Mailing Address - Street 2:
Mailing Address - City:PINETOP
Mailing Address - State:AZ
Mailing Address - Zip Code:85935
Mailing Address - Country:US
Mailing Address - Phone:928-367-1682
Mailing Address - Fax:
Practice Address - Street 1:1349 W 7TH ST
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85201-4629
Practice Address - Country:US
Practice Address - Phone:928-367-1682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-18
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD008732122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist