Individual provider · Type 1 NPI

Chad Michael Gustafson, DDS

General Practice Dentistry · Slidell, LA

NPI number 1306100011 Active

Practice location

925 Cross Gates Blvd
Slidell, LA 70461-3920

Mailing address

100 Alberu St
Slidell, LA 70460-2543

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X6314 (LA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1306100011

Chad Michael Gustafson, DDS's National Provider Identifier is 1306100011, issued on Jun 27, 2012. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Slidell, LA. The record was last updated on Jul 12, 2013.