Matthew H Gustafsson in Truckee - Pediatric Dentistry
Matthew H Gustafsson - NPI 1568651883
Matthew H Gustafsson is a Pediatric Dentistry in Truckee, California. Matthew H Gustafsson practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Matthew H Gustafsson is 1568651883. The last update date is 2008-07-21.
Matthew H Gustafsson's current location address is 11253 Brockway Rd, Truckee, California. You can contact this provider via phone number 5305509311 and fax number 5305508655. The mailing address for Matthew H Gustafsson is 11253 Brockway Rd, Truckee, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Matthew H Gustafsson |
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Address | 11253 Brockway Rd, Truckee, California |
Phone Number | 5305509311 |
Fax Number | 5305508655 |
Sole Proprietor | N |
Credentials | D.D.S, M.S |
NPI Number Detail
NPI Number | 1568651883 |
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Provider Enumeration Date | 2007-10-23 |
Last Updated Date | 2008-07-21 |
Provider Mailing Address Detail
Address | 11253 Brockway Rd |
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City | Truckee |
State | California (CA) |
Post Code | 961613359 |
Phone Number | 5305509311 |
Fax Number | 5305508655 |
Provider's Primary Taxonomy Detail
Speciality | Pediatric Dentistry |
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Taxonomy | 1223P0221X |
Licence No | 55527 |
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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What is the Matthew H Gustafsson's unique identification number?
The Matthew H Gustafsson has been assigned the NPI (National Provider Identifier) Number 1568651883 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Matthew H Gustafsson is geographically located?
The Matthew H Gustafsson is physically situated at the following location: 11253 Brockway Rd, Truckee, CA, 961613359.
What is Matthew H Gustafsson'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 Matthew H Gustafsson is Pediatric Dentistry, and the taxonomy classification code that categorizes this area of expertise is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1568651883 to Matthew H Gustafsson?
The Centers for Medicare & Medicaid Services originally issued the 1568651883 to Matthew H Gustafsson on 2007-10-23.
When was the information regarding Matthew H Gustafsson most recently updated?
The details pertaining to the Matthew H Gustafsson, including its address, specialty, and other relevant information, were last refreshed on 2008-07-21.
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