IndividualActive
Gregory Guymon, DDS, MS
NPI 1417060302 · Orthodontics and Dentofacial Orthopedics Dentistry · Meridian, ID
Provider details
- NPI number
- 1417060302
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DDS, MS
- Sex
- Male
- Sole proprietor
- No
- License
- D3295OR (ID)
Specialties & taxonomies
Dental Providers
Practice location
1200 W Cherry Ln Ste 101
Meridian, ID 83642-4933
Phone: (208) 898-0000
Fax: (208) 898-9000
Approximate (ZIP-level) locationGet directions
Mailing address
1200 W Cherry Ln Ste 101
Meridian, ID 83642-4933
Registry dates
- Enumerated
- 2006-08-16
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.