Provider Demographics
NPI:1538362181
Name:GUGGER, ROBERT ERNEST JR (DDS)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:ERNEST
Last Name:GUGGER
Suffix:JR
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 1:6227 RISING SUN AVE
Mailing Address - Street 2:
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19111
Mailing Address - Country:US
Mailing Address - Phone:215-742-4999
Mailing Address - Fax:215-742-4999
Practice Address - Street 1:6227 RISING SUN AVE
Practice Address - Street 2:
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19111
Practice Address - Country:US
Practice Address - Phone:215-742-4999
Practice Address - Fax:215-742-4999
Is Sole Proprietor?:No
Enumeration Date:2007-06-08
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS21285L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist