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

MR. RYAN R GUSTAFSON, D.D.S

Active Sole Proprietor

MR. RYAN R GUSTAFSON, D.D.S is a Dentist healthcare provider located in HANSCOM AFB, Massachusetts. NPI 1376816462 is currently active in the NPPES registry. Verify at CMS.

Dentist · HANSCOM AFB, MA

Registration Details

NPI Number
1376816462
Provider Type
Individual
Gender
Male
NPI Issued
Feb 20, 2012 (14.472037284148 yrs)
Last Updated
Jan 14, 2016
License
61707 (CA)
Sole Proprietor
Yes

Practice Information

Address
90 VANDENBERG DR
66 MDS (AFMC)
HANSCOM AFB, MA, 017312104
Browse MA providers · Browse ZIP 01731
Phone
7812256789
Fax
7812252561
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist

Other Dentist Providers in HANSCOM AFB, MA

Name Credential NPI
DR. GEORGE CHARLES HLUDZIK DMD 1194719476
DR. NICOLE CATARINO D.D.S. 1881972313
DR. CHRISTOPHER R JONES DDS 1710480678
SHIRLEY YE 1083240139
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.