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).
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 |
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 |
Street Address |
COMDT (CG-1122) U.S. COAST GUARD 2100 2ND ST. SW, SUITE 5314 |
City | WASHINGTON |
State | DC |
Zip Code | 20593 |
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 |
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 Code | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
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 |
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 |
City | WASHINGTON |
Zip Code | 20593 |
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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.