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Dr. Mark Edward Gustafson, DDS
General Practice Dentistry in Wooster, Ohio
NPI 1114033214

Mark Edward Gustafson is a General Practice Dentistry based in Wooster, OH and is specialized in General Practice. Mark Edward Gustafson practices in Wooster, OH and has the professional credentials of DDS. The NPI Number for Mark Edward Gustafson is 1114033214 and holds a License No. 30-017218 (Ohio).

The current practice location address for Mark Edward Gustafson is 3431 Commerce Parkway, Wooster, OH and can be reached out via phone at 330-264-8973 and via fax at 330-262-3072.

Location: 3431 Commerce Parkway, Wooster, OH, 44691
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114033214
Provider Name
Mark Edward Gustafson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
3431 Commerce Parkway, Wooster, OH, 44691
Phone Number
330-264-8973
Fax Number
330-262-3072
Provider Enumeration Date
08/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0518836 05 OH
institution
Provider Business Practice Location Address Details
Address
3431 Commerce Parkway
City
Wooster
State
Ohio
Zip
44691
Phone Number
330-264-8973
Fax Number
330-262-3072
person
Provider Business Mailing Address Details
Address
3431 Commerce Parkway
City
Wooster
State
Ohio
Zip
44691
Phone Number
330-264-8973
Fax Number
330-262-3072
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
30-017218 (Ohio)
Definition
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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