Eric Ross Gustavsen, DDS

General Practice Dentistry · Walla Walla, WA

Individual Active NPI

NPI number 1457431025

Practice location

1129 South 2ND Ave
Suite a
Walla Walla, WA 99362
Phone
(509) 522-2522
Fax
(509) 522-0467

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NPI record

NPI
1457431025
Entity type
Individual (Type 1)
Enumeration date
October 17, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DE00008037 WA

About Dr. Gustavsen

Eric Ross Gustavsen, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1129 South 2ND Ave, Suite a, Walla Walla, WA 99362. The NPI number 1457431025 was assigned on October 17, 2006 and the record was last updated on July 8, 2007.

Dr. Gustavsen lists a license in the registry: #DE00008037 (WA) 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 Eric Ross Gustavsen, DDS?

The NPI number is 1457431025.

What is the phone number of Dr. Gustavsen?

The phone number listed for the practice location is (509) 522-2522.

Where is Dr. Gustavsen located?

1129 South 2ND Ave, Suite a, Walla Walla, WA 99362.

What is the taxonomy code for Dr. Gustavsen?

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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