DAVID GUSTAFSON (NPI# 1871783027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
73484659923 | UT | Dental Providers |
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 |
Street Address |
1548 E 4500 S |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84117-4209 |
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 |
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 Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
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 |
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 |
City | SALT LAKE CITY |
Zip Code | 84117 |
Please comment or provide details below to improve the information on DAVID GUSTAFSON.
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.