Organization · Type 2 NPI
Matthew H. Gustafsson D.d.s., Inc.
Pediatric Dentistry · Truckee, CA
NPI number
1144559162
Active
Practice location
11149 Brockway Rd Ste 100
Truckee, CA 96161-2212
Fax (530) 550-8655
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 55527 (CA) |
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.
Another provider at this address
About NPI 1144559162
Matthew H. Gustafsson D.d.s., Inc.'s National Provider Identifier is 1144559162, issued on Dec 22, 2009. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Truckee, CA. The record was last updated on Feb 27, 2025.