DR. CARL JEFFRIES GUSTKE


Address: Comdt (cg-1122) U.S. Coast Guard, 2100 2nd St. Sw, Suite 5314, Washington, DC 20593
Phone: 2022670801

DR. CARL JEFFRIES GUSTKE (NPI# 1245218320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245218320
Entity Type Individual
Full Name DR. CARL JEFFRIES GUSTKE
Credential DDS
Practice Address Comdt (cg-1122) U.S. Coast Guard
2100 2nd St. Sw, Suite 5314
Washington
DC 20593
Mailing Address 306 Mechanic St
Cape May Court House
NJ 08210-1828
Practice Telephone 2022670801
Enumeration Date 2006-01-09
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 1223P0300X Dentist
Specialization: Periodontics
4328-015 WI Dental Providers
X 1223P0300X Dentist
Specialization: Periodontics
DS027832L PA Dental Providers

Office Location

Street Address COMDT (CG-1122) U.S. COAST GUARD
2100 2ND ST. SW, SUITE 5314
City WASHINGTON
State DC
Zip Code 20593

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689651556 Ryan M Mcardle Technician, Other Comdt (cg-1122) U.S. Coast Guard, 2100 2nd St Sw Suite 5314, Washington, DC 20593-0001 2005-12-30
1942382106 Somnang Chea Technician, Other Comdt (cg-1122) U.S. Coast Guard, 2100 2nd St Sw Suite 5314, Washington, MA 20593 2006-10-19
1144302241 Justine T Tunupopo Technician, Other Comdt (cg-1122) U.S. Coast Guard, 2100 2nd St Sw Suite 5314, Washington, DC 20593 2006-10-19
1750353173 Jose A. Sanchez Family Medicine Comdt (cg-1122) U.S. Coast Guard, 2100 2nd Stree Sw, Suite 5314, Washington, DC 20593-0001 2006-02-02
1477523124 Denise J. Sullivan Technician, Other Comdt (cg-1122) U.S. Coast Guard, 2100 2nd St Sw Suite 5314, Washington, DC 20593-0001 2006-01-25
1447230933 Tommy Jason Brackins Physician Assistant Comdt (cg-1122) U.S. Coast Guard, 2100 2nd St Sw Suite 5314, Washington, DC 20593-0001 2006-01-19
1033198999 Amanda Malenfant Technician, Other Comdt (cg-1122) U.S. Coast Guard, 2100 2ns St. Sw, Suite 5314, Washington, DC 20593-0001 2006-01-10
1558349084 Richard M Walker Technician, Other Comdt (cg-1122) U.S. Coast Guard, 2100 2nd St Sw Suite 5314, Washington, DC 20593-0001 2006-01-05
1689652182 Mark Comnick Family Medicine Comdt (cg-1122) U.S. Coast Guard, 2100 2nd St Sw, Ste 5314, Washington, DC 20593-0001 2006-01-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982869939 Devon Avery Student in an Organized Health Care Education/Training Program 21002ndst Sw Swite 5314, Washington, DC 20593 2008-07-18
1922261056 Robert Harold Spicer Technician, Other 2100 2nd St, Comdt (cg-1122) U.S. Coasst Guard Suite 5314, Washington, DC 20593 2008-07-09
1235391772 Abby Joanna Shannon Dentist Uscg Base Ncr 2703 Martin Luther King Jr Ave Se, Washington, DC 20593 2008-06-26
1760642797 Sweet-charity May Keplinger Physician Assistant 2100 2nd St Sw Suite 5, Comdt ( Cg-1122) Us Coast Guard, Washington, DC 20593 2008-06-12
1730346719 Stephen M-l Tate Student in an Organized Health Care Education/Training Program 2100 2nd St Sw Suit, Comdt (cg-1122) Us Coast Guard, Washington, DC 20593 2008-05-19
1659409167 Marc J Capra Technician, Other Uscg Comdt (cg-1122), 2100 2nd St Sw Suite 5314, Washington, DC 20593 2007-02-28
1336220730 Christohper John Lisk Technician, Other 2100 2nd St Sw Suite 5314, Comdt (cg-1122) U.S. Coast Guard, Washington, DC 20593 2006-10-18
1013097674 James C. Morgan Military Health Care Provider Comdt (cg-1122), U.S. Coast Guard 2100 2nd St Sw, Suite 5314, Washington, DC 20593 2006-10-17
1811077613 Thomas Keith Heimann Technician, Other 2100 2nd St Sw, Suite 5314, Comdt (cg-1122), U. S. Coast Guard, Washington, DC 20593 2006-10-16
1447330246 Unitied States Coast Guard Technician, Other 2100 2nd St Sw Comdt (cg-1122), Suite 5314 Us Coast Guard, Washington, DC 20593 2006-10-16
Find all providers in zip 20593

Taxonomy Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467004341 Yelena Obholz Dds II Pllc Dentist 5101 Wisconsin Ave Nw Ste 107b, Washington, DC 20016-4136 2019-07-11
1588149470 Amir Shayesteh Dentist 600 W St Nw Ste 400, Washington, DC 20059-1022 2018-09-26
1700309861 Advanced Periodontics of Washington, Pllc Dentist 1145 19th St Nw Ste 510, Washington, DC 20036-3715 2017-07-20
1992085724 Jean Li Dentist 1212 New York Ave Nw Ste 430, Washington, DC 20005-3987 2011-08-24
1720393184 Jaffer F Arastu Dentist 1841 Columbia Rd Nw Apt A, Washington, DC 20009-2200 2010-08-10
1275779274 Marvin F. Grower Dentist Howard Univ College of Dent 600 W St Nw, Washington, DC 20059-0001 2008-12-21
1821293465 Sina Peter Farzin Dentist 4545 42nd Street Nw, Suite 108, Washington, DC 20016 2007-06-15
1417030495 Monette Marie Shuutleworth Dentist 5225 Wisconsin Ave Nw Suite #511, Washington, DC 20015 2006-10-23
1689769788 Specialty Periodontal Care of Washington Pa LLC Dentist 2790 West Chestnut Street, Washington, PA 15301 2006-10-04
1518947605 Armin Abron Dentist 1712 Eye St Nw, Suite 202, Washington, DC 20006-3702 2006-01-17
Find all providers in WASHINGTON

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City WASHINGTON
Zip Code 20593

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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