Roland Brant Gustafson in Cheyenne - Oral And Maxillofacial Surgery
Roland Brant Gustafson - NPI 1750437380
Roland Brant Gustafson is a Oral And Maxillofacial Surgery in Cheyenne, . Roland Brant Gustafson practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Roland Brant Gustafson is 1750437380. The last update date is 2007-07-08.
Roland Brant Gustafson's current location address is 6238 Yellowstone Rd, Cheyenne, . You can contact this provider via phone number 3076356940 and fax number 3076352839. The mailing address for Roland Brant Gustafson is 6238 Yellowstone Rd, Cheyenne, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roland Brant Gustafson |
|---|---|
| Address | 6238 Yellowstone Rd, Cheyenne, |
| Phone Number | 3076356940 |
| Fax Number | 3076352839 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1750437380 |
|---|---|
| Provider Enumeration Date | 2007-01-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6238 Yellowstone Rd |
|---|---|
| City | Cheyenne |
| State | (WY) |
| Post Code | 820093432 |
| Phone Number | 3076356940 |
| Fax Number | 3076352839 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 1054 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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What is the unique 10-digit identification code assigned to Roland Brant Gustafson by the Centers for Medicare & Medicaid Services?
The Roland Brant Gustafson has been issued the NPI (National Provider Identifier) 1750437380, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Roland Brant Gustafson is located?
The Roland Brant Gustafson is situated at the following address: 6238 Yellowstone Rd, Cheyenne, WY, 820093432.
What is the Roland Brant Gustafson's area of specialization and corresponding taxonomy classification?
The Roland Brant Gustafson's specialty field is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1750437380 to Roland Brant Gustafson?
The Centers for Medicare & Medicaid Services originally issued the 1750437380 to Roland Brant Gustafson on 2007-01-26.
When was the information regarding Roland Brant Gustafson most recently updated?
The details pertaining to the Roland Brant Gustafson, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH