Provider Demographics
NPI:1144197880
Name:GAYER MADUREIRA, GUILHERME (DDS)
Entity type:Individual
Prefix:DR
First Name:GUILHERME
Middle Name:
Last Name:GAYER MADUREIRA
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 1:501 W 4TH ST APT 334
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27101-3861
Mailing Address - Country:US
Mailing Address - Phone:445-448-5248
Mailing Address - Fax:445-448-5248
Practice Address - Street 1:2002 PISGAH CHURCH RD
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27455-3308
Practice Address - Country:US
Practice Address - Phone:336-271-7900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-18
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0302122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist