Dr. Carla W Bustillo Gonzalez, DDS
Dentist, General Practice in Tewksbury, Massachusetts
1255450557- Practice location
- 1455 Main St, Tewksbury, MA 01876-4769
- Phone
- 978-851-7112
- Fax
- 978-851-7112
- Last updated
- May 26, 2025
Carla W. Bustillo Gonzalez is a Dentist, General Practice based in Tewksbury, MA. Carla W. Bustillo Gonzalez practices in Tewksbury, MA and has the professional credentials of DDS. The NPI Number for Carla W. Bustillo Gonzalez is 1255450557 and holds a License No. 20116 (MA). The current practice location address for Carla W. Bustillo Gonzalez is 1455 Main St, Tewksbury, MA 01876-4769 and can be reached out via phone at 978-851-7112 and via fax at 978-851-7112.
Provider Profile Details
- NPI Number
- 1255450557
- Provider Name
- Carla W. Bustillo Gonzalez
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1455 Main St, Tewksbury, MA 01876-4769
- Phone Number
- 978-851-7112
- Fax Number
- 978-851-7112
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- Yes
- Other Names
- Carla Bustillo-Gonzalez, DDS (Professional Name)
- Provider Enumeration Date
- March 28, 2007
- Last Update Date
- May 26, 2025
- Certification Date
- May 26, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1455 Main St
Tewksbury, MA 01876-4769 - City
- Tewksbury
- State
- Massachusetts
- Zip
- 01876-4769
- Phone Number
- 978-851-7112
- Fax Number
- 978-851-7112
Provider Business Mailing Address Details
- Address
- 1445 Main St
Tewksbury, MA 01876-4723 - City
- Tewksbury
- State
- MA
- Zip
- 01876-4723
- Phone Number
- 978-851-7112
License Information
- License Number (1)
- 20116
- License State (1)
- MA
- Taxonomy (1)
- Dentist · 122300000X
- License Number (2)
- 20116
- License State (2)
- MA
- Taxonomy (2)
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, General Practice providers near Tewksbury, MA
View all Dentist, General Practice providers in Tewksbury →- Aruna L Jonnalagadda, DMDDentist, General Practice · NPI 1730390956
- Boutselis Family Dental Care PCDentist, General Practice · NPI 1457423154
- Dr. Alexis Cenami, DMDDentist, General Practice · NPI 1881033033
- Dr. Barry Puchkoff, DMDDentist, General Practice · NPI 1619942901
- Dr. Gayla A Levine, DDSDentist, General Practice · NPI 1750563151
- Dr. Jeffrey B Allan, DDSDentist, General Practice · NPI 1770571291
Frequently Asked Questions
What is the NPI number of Dr. Carla W Bustillo Gonzalez, DDS?
The NPI number of Dr. Carla W Bustillo Gonzalez, DDS is 1255450557. It was assigned on March 28, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Carla W Bustillo Gonzalez, DDS?
Dr. Carla W Bustillo Gonzalez, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 20116.
Where does Dr. Carla W Bustillo Gonzalez, DDS practice?
The practice location is 1455 Main St, Tewksbury, MA 01876-4769. The office can be reached at 978-851-7112 (phone) or 978-851-7112 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255450557 directly on the NPPES registry website.