Richard John Gustaferro, DDS

General Practice Dentistry · Willoughby, OH

Individual Active NPI

NPI number 1104958941

Practice location

35100 Euclid Avenue
Suite #209
Willoughby, OH 44094-4510
Phone
(440) 946-1076
Fax
(440) 946-2276

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NPI record

NPI
1104958941
Entity type
Individual (Type 1)
Enumeration date
March 9, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 30016753 OH

About Dr. Gustaferro

Richard John Gustaferro, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 35100 Euclid Avenue, Suite #209, Willoughby, OH 44094-4510. The NPI number 1104958941 was assigned on March 9, 2007 and the record was last updated on July 8, 2007.

Dr. Gustaferro lists a license in the registry: #30016753 (OH) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Richard John Gustaferro, DDS?

The NPI number is 1104958941.

What is the phone number of Dr. Gustaferro?

The phone number listed for the practice location is (440) 946-1076.

Where is Dr. Gustaferro located?

35100 Euclid Avenue, Suite #209, Willoughby, OH 44094-4510.

What is the taxonomy code for Dr. Gustaferro?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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