Gutta, Archana

Gutta, Archana is an sole proprietor health care provider with primary practice located at 3306 Andrews Hwy , Midland TX 79703-5131. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Gutta, Archana can be contacted via phone (432) 553-6133.

Contact Information

Primary practice address
3306 Andrews Hwy Midland TX 79703-5131
Phone: (432) 553-6133
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 24561 Texas

Profile Details

NPI number 1023243375
LBN Legal business name Gutta, Archana
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2009
Last updated Oct 3rd, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023243375 NPPES
Texas MEDICAID 202112310

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