Organization · Type 2 NPI
Frederick Gustave, D.d.s., PC
Oral and Maxillofacial Surgery Clinic/Center · Carbondale, IL
NPI number
1477720985
Active
Practice location
1111 E Walnut St, Suite B
Carbondale, IL 62901-5000
Fax (618) 529-2572
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery Clinic/Center Primary | 261QS0112X | 019016600 (IL) |
Oral and Maxillofacial Surgery Clinic/Center: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
3 other providers at this address
Other oral and maxillofacial surgery clinic/center providers in Carbondale
About NPI 1477720985
Frederick Gustave, D.d.s., PC's National Provider Identifier is 1477720985, issued on May 14, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in Carbondale, IL. The record was last updated on May 14, 2008.