Provider Demographics
NPI:1992785133
Name:RESCH, GUY ROBERT (DDS)
Entity type:Individual
Prefix:DR
First Name:GUY
Middle Name:ROBERT
Last Name:RESCH
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 1:1193 NE ELLIS RD
Mailing Address - Street 2:
Mailing Address - City:EL DORADO
Mailing Address - State:KS
Mailing Address - Zip Code:67042-8257
Mailing Address - Country:US
Mailing Address - Phone:316-320-0060
Mailing Address - Fax:316-321-5530
Practice Address - Street 1:205 E 12TH AVE
Practice Address - Street 2:
Practice Address - City:EL DORADO
Practice Address - State:KS
Practice Address - Zip Code:67042-4322
Practice Address - Country:US
Practice Address - Phone:316-320-6250
Practice Address - Fax:316-321-5530
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS67611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice