DAVID GUSTAFSON


Address: 1548 E 4500 S, Salt Lake City, UT 84117-4209
Phone: 8014631900

DAVID GUSTAFSON (NPI# 1871783027) 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) 1871783027
Entity Type Individual
Full Name DAVID GUSTAFSON
Credential DDS, MS
Practice Address 1548 E 4500 S
Salt Lake City
UT 84117-4209
Practice Telephone 8014631900
Mailing Telephone 8014631900
Enumeration Date 2007-07-25
Last Update Date 2014-07-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
73484659923 UT Dental Providers

Other Providers DAVID GUSTAFSON

NPI Name Taxonomy Address Enumeration
1306475363 David Gustafson Student in an Organized Health Care Education/Training Program 900 Myrtle Ave Apt 2309, El Paso, TX 79901-1673 2020-04-02
1316379308 David Leor Gustafson Physical Therapist 3935 Brian Jordan Pl, Ste 119, High Point, NC 27265-8036 2013-08-01
1205817871 David R. Gustafson Emergency Medicine 3507 Shady Bend Dr, Independence, MO 64052-2860 2005-11-09
1467574103 David R Gustafson Dentist 3624 North Hills Drive, Suite A 201, Austin, TX 78731 2007-04-04
1952471989 David Gustafson Counselor 200 Mcgee Rd, Anderson, SC 29625-2104 2006-11-08
1881771822 David H Gustafson Emergency Medicine 345 North Smith Avenue, Childrens Hospitals and Clinics of Minnesota Emergency, St Paul, MN 55102 2006-11-01

Office Location

Street Address 1548 E 4500 S
City SALT LAKE CITY
State UT
Zip Code 84117-4209

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720149453 Jeffery K. Rupp Dentist 1548 E 4500 S, Suite 102, Salt Lake City, UT 84117-4209 2006-12-13
1831548098 Shane Farr Physician Assistant 1548 E 4500 S, Ste 202, Salt Lake City, UT 84117-4209 2016-06-08
1659785194 Elena Margarite Hadjicharalambous Dermatology 1548 E 4500 S, Ste 202, Salt Lake City, UT 84117 2014-06-12
1003162058 Stacy R Smith Md PC Ophthalmology 1548 E 4500 S, Ste 105, Salt Lake City, UT 84117-4209 2012-07-27
1710242235 Breton Adam Orel Yates Dermatology 1548 E 4500 S, Ste 202, Salt Lake City, UT 84117-5209 2012-07-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063052256 Abundant Dental Care, P.C. Dentist 1548 E 4500 S #104, Holladay, UT 84117 2020-01-15
1578127221 Signature Utah Dental Partners PC Clinic/Center 2240 E Murray Holladay Rd, Holladay, UT 84117 2019-04-29
1700392974 Marette Monson, LLC Community/Behavioral Health 2180 East 4500 South, Suite 105, Holladay City, UT 84117 2017-12-23
1942714639 Harmon City Inc Pharmacy 4675 South Holladay Blvd, Holladay, UT 84117 2017-11-17
1881119444 Brianna Stewart Physical Medicine & Rehabilitation 5151 South 900 East, Suite 100, Salt Lake City, UT 84117 2017-08-04
1861842874 Whitney Aste Dentist 1548 E 4500 S Ste 104, Salt Lake City, UT 84117 2016-06-21
1922403765 Tri-peak, Pllc Psychologist 4535 S 2300 E, Suite B, Salt Lake City, UT 84117 2014-10-22
1356689566 Mckenzie Vierig Marriage & Family Therapist 4568 S Highland Dr Ste 380, Millcreek, UT 84117 2013-01-22
1821348640 Fabiola Marquez Jamieson Social Worker 4500 S 2180 E, Suite 165, Holladay, UT 84117 2012-09-19
1073882882 Amy Rose White Social Worker 4500 South 2180 East, Suite 165, Holladay, UT 84117 2011-12-22
Find all providers in zip 84117

Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy 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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518478742 Lcr Dental Sugar House Dentist 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 2017-10-16
1316465255 Creek Capital Cottonwood LLC Dentist 7050 S Highland Dr Ste 110, Salt Lake City, UT 84121-3764 2017-08-30
1558777151 Jami Ballantine Dentist 55 N Redwood Rd, Salt Lake City, UT 84116-3121 2014-07-03
1831338623 Rose Park Pediatric Dentistry, PC Dentist 55 N Redwood Rd Ste B, Salt Lake City, UT 84116-3174 2009-02-18
1346366283 Hans Christian Reinemer Dentist 1963 E 5600 S, Salt Lake City, UT 84121-1351 2007-03-22
1578612602 Debbie Lee Graham Dentist 620 E 2100 S, Salt Lake City, UT 84106-1828 2007-01-09
1720149453 Jeffery K. Rupp Dentist 1548 E 4500 S, Suite 102, Salt Lake City, UT 84117-4209 2006-12-13
1982670568 Val Joseph Cheever Dentist 1955 S 1300 E, Salt Lake City, UT 84105-3638 2006-02-24
1316438310 Justin Moody Dentist 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2018-05-24
1346761152 Walker Dean Clark Dentist 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2017-06-30
Find all providers in SALT LAKE CITY

Competitor

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City SALT LAKE CITY
Zip Code 84117

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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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