Duane Brower Gustafson in Redwood City - Dentist
Duane Brower Gustafson - NPI 1396759932
Duane Brower Gustafson is a Dentist in Redwood City, California. Duane Brower Gustafson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Duane Brower Gustafson is 1396759932. The last update date is 2007-07-08.
Duane Brower Gustafson's current location address is 1690 Woodside Rd Ste 209, Redwood City, California. You can contact this provider via phone number 6503692555 and fax number 6503692556. The mailing address for Duane Brower Gustafson is 1690 Woodside Rd Ste 209, Redwood City, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Duane Brower Gustafson |
|---|---|
| Address | 1690 Woodside Rd Ste 209, Redwood City, California |
| Phone Number | 6503692555 |
| Fax Number | 6503692556 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1396759932 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1690 Woodside Rd Ste 209 |
|---|---|
| City | Redwood City |
| State | California (CA) |
| Post Code | 940613402 |
| Phone Number | 6503692555 |
| Fax Number | 6503692556 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 23784 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code issued to Duane Brower Gustafson by the Centers for Medicare & Medicaid Services?
The Duane Brower Gustafson has been assigned the NPI (National Provider Identifier) 1396759932 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Duane Brower Gustafson is physically located?
The Duane Brower Gustafson is physically situated at the following address: 1690 Woodside Rd Ste 209, Redwood City, CA, 940613402.
What is Duane Brower Gustafson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Duane Brower Gustafson is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did Duane Brower Gustafson receive its 1396759932 assignment from the Centers for Medicare & Medicaid Services?
The Duane Brower Gustafson was assigned its 1396759932 on 2006-07-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Duane Brower Gustafson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Duane Brower Gustafson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.