institution
Frederick Gustave, D.d.s., Pc
Oral and Maxillofacial Surgery Clinic/Center in Carbondale, Illinois
NPI 1477720985

Frederick Gustave, D.d.s., Pc is a Oral and Maxillofacial Surgery Clinic/Center based in Carbondale, IL and is specialized in Oral and Maxillofacial Surgery. Frederick Gustave, D.d.s., Pc practices in Carbondale, IL. The NPI Number for Frederick Gustave, D.d.s., Pc is 1477720985 and holds a License No. 019016600 (Illinois).

The current practice location address for Frederick Gustave, D.d.s., Pc is 1111 E Walnut St, Carbondale, IL and can be reached out via phone at 618-529-2571 and via fax at 618-529-2572. You can also correspond with Frederick Gustave, D.d.s., Pc through the mailing address at 1111 E WALNUT ST, CARBONDALE, IL - 62901-5000 (mailing address contact number: 618-529-2571).

Location: 1111 E Walnut St, Carbondale, IL, 62901-5000
institution
Provider Profile Details
NPI Number
1477720985
Provider Name
Frederick Gustave, D.d.s., Pc
Credential
Provider Entity Type
Organization
Address
1111 E Walnut St, Carbondale, IL, 62901-5000
Phone Number
618-529-2571
Fax Number
618-529-2572
Provider Enumeration Date
05/14/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1111 E Walnut St
City
State
Zip
62901-5000
Phone Number
618-529-2571
Fax Number
618-529-2572
person
Provider Business Mailing Address Details
Address
1111 E Walnut St
City
State
Zip
62901-5000
Phone Number
618-529-2571
Fax Number
618-529-2572
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
019016600 (Illinois)
Definition
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.
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