Individual provider · Type 1 NPI
Frederick Gustave, DDS
Oral and Maxillofacial Surgery (Dentist) · Belleville, IL
NPI number
1891709168
Active
Practice location
10200 W Main St
Belleville, IL 62223-1408
Fax (618) 500-6725
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 019016600 (IL) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 021001098 (IL) |
Oral and Maxillofacial Surgery (Dentist): 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 (dentist) providers in Belleville
About NPI 1891709168
Frederick Gustave, DDS's National Provider Identifier is 1891709168, issued on Jul 29, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Belleville, IL. The record was last updated on Jan 4, 2024.