Provider Demographics
NPI:1831234533
Name:GUIRGUIS, ERIC WAFIEK (DDS, MSD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:WAFIEK
Last Name:GUIRGUIS
Suffix:
Gender:M
Credentials:DDS, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:29160 CENTER RIDGE RD
Mailing Address - Street 2:SUITE #J
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-5225
Mailing Address - Country:US
Mailing Address - Phone:440-835-8883
Mailing Address - Fax:440-835-9395
Practice Address - Street 1:29160 CENTER RIDGE RD
Practice Address - Street 2:SUITE J
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-5225
Practice Address - Country:US
Practice Address - Phone:440-835-8883
Practice Address - Fax:440-835-9395
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH189581223P0300X, 1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No1223P0300XDental ProvidersDentistPeriodontics