Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FREDERICK GUSTAVE, DDS
Active Sole ProprietorFREDERICK GUSTAVE, DDS is a Oral & Maxillofacial Surgery healthcare provider located in BELLEVILLE, Illinois. NPI 1891709168 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · BELLEVILLE, IL
Registration Details
- NPI Number
- 1891709168
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 29, 2006 (20.064413513531 yrs)
- Last Updated
- Jan 4, 2024
- Licenses
-
019016600 (IL)021001098 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10200 W MAIN STBELLEVILLE, IL, 622231408Browse IL providers · Browse ZIP 62223
- Phone
- 6184006725
- Fax
- 6185006725
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery
Other Oral & Maxillofacial Surgery Providers in BELLEVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL R HESTERBERG | D.M.D. | 1184611212 |
| DR. EDGAR J BREDA | D.D.S. | 1497742407 |
| MICHAEL W NOBLE | D.M.D. | 1356331672 |
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.