Chad Michael Gustafson, DDS

General Practice Dentistry · Slidell, LA

Individual Active NPI

NPI number 1306100011

Practice location

925 Cross Gates Blvd
Slidell, LA 70461-3920
Phone
(985) 646-1726

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NPI record

NPI
1306100011
Entity type
Individual (Type 1)
Enumeration date
June 27, 2012
Last updated
July 12, 2013
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 6314 LA

Mailing address

100 Alberu St
Slidell, LA 70460-2543
Phone
(985) 290-9558

About Dr. Gustafson

Chad Michael Gustafson, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 925 Cross Gates Blvd, Slidell, LA 70461-3920. The NPI number 1306100011 was assigned on June 27, 2012 and the record was last updated on July 12, 2013.

Dr. Gustafson lists a license in the registry: #6314 (LA) 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 Chad Michael Gustafson, DDS?

The NPI number is 1306100011.

What is the phone number of Dr. Gustafson?

The phone number listed for the practice location is (985) 646-1726.

Where is Dr. Gustafson located?

925 Cross Gates Blvd, Slidell, LA 70461-3920.

What is the taxonomy code for Dr. Gustafson?

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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