Terry L Gustavel is a Dentist in Boise, Idaho. Terry L Gustavel practices all healthcare services and medical treatments related to Dentist. The NPI Number for Terry L Gustavel is 1346373826. The last update date is 2007-07-08.
Terry L Gustavel's current location address is 480 N Latah St, Boise, Idaho. You can contact this provider via phone number 2083458962 and fax number 2083455207. The mailing address for Terry L Gustavel is 480 N Latah St, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Name | Terry L Gustavel |
---|---|
Address | 480 N Latah St, Boise, Idaho |
Phone Number | 2083458962 |
Fax Number | 2083455207 |
Sole Proprietor | N |
Credentials | D.D.S. |
NPI Number Detail
NPI Number | 1346373826 |
---|---|
Provider Enumeration Date | 2007-03-13 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 480 N Latah St |
---|---|
City | Boise |
State | Idaho (ID) |
Post Code | 837062630 |
Phone Number | 2083458962 |
Fax Number | 2083455207 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
---|---|
Taxonomy | 122300000X |
Licence No | D-1351 |
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 |
Post Comment/ Review Below
What is the unique identifier code issued to Terry L Gustavel by the Centers for Medicare & Medicaid Services (CMS)?
The Terry L Gustavel has been assigned the NPI (National Provider Identifier) 1346373826. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Terry L Gustavel is physically located?
The Terry L Gustavel is physically situated at the following address: 480 N Latah St, Boise, ID, 837062630.
What is Terry L Gustavel's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Terry L Gustavel's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1346373826 to Terry L Gustavel?
The Centers for Medicare & Medicaid Services assigned the 1346373826 to Terry L Gustavel on 2007-03-13.
As of what date was the information pertaining to Terry L Gustavel, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Terry L Gustavel, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1467434399
Address: 6502 Nursery Dr. Suite 100, Victoria, TX