Provider Demographics
NPI:1285525568
Name:GUECO, LANDEN T
Entity type:Individual
Prefix:
First Name:LANDEN
Middle Name:T
Last Name:GUECO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 RILEY PL APT A
Mailing Address - Street 2:
Mailing Address - City:FORT RILEY
Mailing Address - State:KS
Mailing Address - Zip Code:66442-1635
Mailing Address - Country:US
Mailing Address - Phone:785-226-5804
Mailing Address - Fax:
Practice Address - Street 1:4010 1ST DIVISION RD
Practice Address - Street 2:
Practice Address - City:APO
Practice Address - State:AA
Practice Address - Zip Code:66442
Practice Address - Country:US
Practice Address - Phone:785-226-5804
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist