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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GARY GUSTAVSON, D.D.S.

Active

DR. GARY GUSTAVSON, D.D.S. is a Dentist healthcare provider located in SKOKIE, Illinois. NPI 1003812579 is currently active in the NPPES registry. Verify at CMS.

Dentist · SKOKIE, IL

Registration Details

NPI Number
1003812579
Provider Type
Individual
Gender
Male
NPI Issued
Jun 21, 2005 (21.171891696018 yrs)
Last Updated
Jul 8, 2007
License
19-15094 (IL)

Practice Information

Address
64 OLD ORCHARD CTR
STE 528
SKOKIE, IL, 600771440
Browse IL providers · Browse ZIP 60077
Phone
8476753311
Primary Specialty
Dentist
122300000X

Other Dentist Providers in SKOKIE, IL

Name Credential NPI
DR. LUH-YUAN LIN DDS 1801878277
DR. PATRICK C. HANN D.D.S. 1649225962
DR. RICHARD A. SCHMIDT D.D.S. 1275542466
DR. WENDY ELLEN SHORR D.D.S. 1619047115
DR. RANDALL E. HIRSH D.D.S. 1770654808
DR. JULIE LYNN OKAMOTO DDS 1336209337
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.