Mr. Ryan R Gustafson, DDS
Dentist in Hanscom Afb, Massachusetts
1376816462- Practice location
- 90 Vandenberg Dr, 66 Mds (Afmc), Hanscom Afb, MA 01731-2104
- Phone
- 781-225-6789
- Fax
- 781-225-2561
- Last updated
- January 14, 2016
Ryan R Gustafson is a Dentist based in Hanscom Afb, MA. Ryan R Gustafson practices in Hanscom Afb, MA and has the professional credentials of DDS. The NPI Number for Ryan R Gustafson is 1376816462 and holds a License No. 61707 (CA). The current practice location address for Ryan R Gustafson is 90 Vandenberg Dr, 66 Mds (Afmc), Hanscom Afb, MA 01731-2104 and can be reached out via phone at 781-225-6789 and via fax at 781-225-2561.
Provider Profile Details
- NPI Number
- 1376816462
- Provider Name
- Ryan R Gustafson
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 90 Vandenberg Dr, 66 Mds (Afmc), Hanscom Afb, MA 01731-2104
- Phone Number
- 781-225-6789
- Fax Number
- 781-225-2561
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 20, 2012
- Last Update Date
- January 14, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 90 Vandenberg Dr
66 Mds (Afmc)
Hanscom Afb, MA 01731-2104 - City
- Hanscom Afb
- State
- Massachusetts
- Zip
- 01731-2104
- Phone Number
- 781-225-6789
- Fax Number
- 781-225-2561
Provider Business Mailing Address Details
- Address
- 90 Vandenberg Dr
66 Mds (Afmc)
Hanscom Afb, MA 01731-2104 - City
- Hanscom Afb
- State
- MA
- Zip
- 01731-2104
- Phone Number
- 781-225-6789
- Fax Number
- 781-225-2561
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 61707
- License State (2)
- CA
- Taxonomy (2)
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Hanscom Afb, MA
View all Dentists in Hanscom Afb →- Dr. Christopher R Jones, DDSDentist · NPI 1710480678
- Dr. George C Hludzik, DMDDentist · NPI 1194719476
- Jordyn M Williams, DDSDentist · NPI 1689467524
- Melissa Collazo, LCSWSocial Worker · NPI 1497668578
- Miriam Santoscoy, LICSWSocial Worker, Clinical · NPI 1902428733
- Amber Schildwachter, PSYDStudent in an Organized Health Care Education/Training Program · NPI 1316852791
Frequently Asked Questions
What is the NPI number of Mr. Ryan R Gustafson, DDS?
The NPI number of Mr. Ryan R Gustafson, DDS is 1376816462. It was assigned on February 20, 2012 and is currently active in the NPPES registry.
What is the specialty of Mr. Ryan R Gustafson, DDS?
Mr. Ryan R Gustafson, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in CA under license number 61707.
Where does Mr. Ryan R Gustafson, DDS practice?
The practice location is 90 Vandenberg Dr, 66 Mds (Afmc), Hanscom Afb, MA 01731-2104. The office can be reached at 781-225-6789 (phone) or 781-225-2561 (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 1376816462 directly on the NPPES registry website.