Frederick Gustave, D.D.S., Pc in Carbondale - Oral And Maxillofacial Surgery
Frederick Gustave, D.D.S., Pc - NPI 1477720985
Frederick Gustave, D.D.S., Pc is a Oral And Maxillofacial Surgery in Carbondale, Illinois. Frederick Gustave, D.D.S., Pc practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Frederick Gustave, D.D.S., Pc is 1477720985. The last update date is 2008-05-14.
Frederick Gustave, D.D.S., Pc's current location address is 1111 E Walnut St, Carbondale, Illinois. You can contact this provider via phone number 6185292571 and fax number 6185292572. The mailing address for Frederick Gustave, D.D.S., Pc is 1111 E Walnut St, Carbondale, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Frederick Gustave, D.D.S., Pc |
---|---|
Address | 1111 E Walnut St, Carbondale, Illinois |
Phone Number | 6185292571 |
Fax Number | 6185292572 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER/ORAL |
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Authorized Official Name | Gustave Frederick |
Credentials | DDS |
Telephone Number | 6185292571 |
NPI Number Detail
NPI Number | 1477720985 |
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Provider Enumeration Date | 2008-05-14 |
Last Updated Date | 2008-05-14 |
Provider Mailing Address Detail
Address | 1111 E Walnut St |
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City | Carbondale |
State | Illinois (IL) |
Post Code | 629015000 |
Phone Number | 6185292571 |
Fax Number | 6185292572 |
Provider's Primary Taxonomy Detail
Speciality | Oral And Maxillofacial Surgery |
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Taxonomy | 261Qs0112X |
Licence No | 19016600 |
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. |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Frederick Gustave, D.D.S., Pc by the Centers for Medicare & Medicaid Services?
The Frederick Gustave, D.D.S., Pc has been issued the NPI (National Provider Identifier) 1477720985 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Frederick Gustave, D.D.S., Pc is geographically located?
The Frederick Gustave, D.D.S., Pc is physically situated at the following location: 1111 E Walnut St, Carbondale, IL, 629015000.
What is the Frederick Gustave, D.D.S., Pc's area of specialization and corresponding taxonomy classification?
The Frederick Gustave, D.D.S., Pc's specialty field is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 261Qs0112X, which categorizes healthcare providers based on their specialties.
When did the Frederick Gustave, D.D.S., Pc receive its 1477720985?
The Frederick Gustave, D.D.S., Pc was issued its 1477720985 on 2008-05-14, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Frederick Gustave, D.D.S., Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Frederick Gustave, D.D.S., Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-05-14.
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