Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOSSEN P GASTELUM, DMD
ActiveDR. JOSSEN P GASTELUM, DMD is a General Dentistry healthcare provider located in MARANA, Arizona. NPI 1730798331 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · MARANA, AZ
Registration Details
- NPI Number
- 1730798331
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 29, 2020 (6.0300954631301 yrs)
- Last Updated
- Oct 31, 2020
- Licenses
-
10479 (KY)D010862 (AZ)
Practice Information
- Address
-
12090 N THORNYDALE RD STE 106MARANA, AZ, 856584779Browse AZ providers · Browse ZIP 85658
- Phone
- 5206164610
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in MARANA, AZ
| Name | Credential | NPI |
|---|---|---|
| BRADNER J LAWRENCE | DDS | 1194924969 |
| DR. MICHAEL CARLTON FAIR | DDS | 1972766277 |
| VIJAY PATEL | DMD | 1104173699 |
| DR. GALYNA RUDNIKOVA FLINK | DMD | 1346594462 |
| DR. ERIC SCOTT BJERKE | D.M.D | 1518376664 |
| LAUREN HALLORAN | — | 1912524265 |
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.