Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK EDWARD GUSTAFSON, D.D.S.
Active Sole ProprietorDR. MARK EDWARD GUSTAFSON, D.D.S. is a General Dentistry healthcare provider located in WOOSTER, Ohio. NPI 1114033214 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · WOOSTER, OH
Registration Details
- NPI Number
- 1114033214
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 22, 2006 (19.968361521987 yrs)
- Last Updated
- Sep 4, 2009
- Licenses
-
30-017218 (OH)30-01-7218 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3431 COMMERCE PARKWAYSUITE AWOOSTER, OH, 44691Browse OH providers · Browse ZIP 44691
- Phone
- 3302648973
- Fax
- 3302623072
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in WOOSTER, OH
| Name | Credential | NPI |
|---|---|---|
| MICHAEL F. BAUS | D.D.S. | 1093710204 |
| DR. KRIKOR P. GHAZARIAN | D.D.S. | 1104828680 |
| WILLIAM A FISCHER III | DDS | 1053366245 |
| FERENC RELLE | — | 1639231988 |
| DR. DANIEL S ZUPSANSKY | DDS | 1306984224 |
| DR. STEPHEN SCOTT PESICEK | D.D.S. | 1497896765 |
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.