David Gustafson in Salt Lake City - Pediatric Dentistry
David Gustafson - NPI 1871783027
David Gustafson is a Pediatric Dentistry in Salt Lake City, Utah. David Gustafson practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for David Gustafson is 1871783027. The last update date is 2014-07-22.
David Gustafson's current location address is 1548 E 4500 S, Salt Lake City, Utah. You can contact this provider via phone number 8014631900. The mailing address for David Gustafson is 1548 E 4500 S, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Gustafson |
|---|---|
| Address | 1548 E 4500 S, Salt Lake City, Utah |
| Phone Number | 8014631900 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS, MS |
NPI Number Detail
| NPI Number | 1871783027 |
|---|---|
| Provider Enumeration Date | 2007-07-25 |
| Last Updated Date | 2014-07-22 |
Provider Mailing Address Detail
| Address | 1548 E 4500 S |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841174209 |
| Phone Number | 8014631900 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 73484659923 |
|
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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Post Comment/ Review Below
What is the David Gustafson's unique identification number?
The David Gustafson has been assigned the NPI (National Provider Identifier) Number 1871783027 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where David Gustafson is physically located?
The David Gustafson is physically situated at the following address: 1548 E 4500 S, Salt Lake City, UT, 841174209.
What is David Gustafson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for David Gustafson is Pediatric Dentistry, and the taxonomy code that classifies this field of practice is 1223P0221X.
On what date did the David Gustafson receive its 1871783027 assignment from the Centers for Medicare & Medicaid Services?
The David Gustafson was assigned its 1871783027 by the Centers for Medicare & Medicaid Services on 2007-07-25.
As of what date was the information pertaining to David Gustafson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to David Gustafson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-07-22.
NPI Number: 1952305922
Address: 1111 Professional Blvd, Dalton, GA