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Frederick Gustave, DDS
Oral and Maxillofacial Surgery (Dentist) in Belleville, Illinois
NPI 1891709168

Frederick Gustave is a Oral and Maxillofacial Surgery (Dentist) based in Belleville, IL and is specialized in Oral and Maxillofacial Surgery. Frederick Gustave practices in Belleville, IL and has the professional credentials of DDS. The NPI Number for Frederick Gustave is 1891709168 and holds a License No. 019016600 (Illinois).

The current practice location address for Frederick Gustave is 10200 W Main St, Belleville, IL and can be reached out via phone at 618-400-6725 and via fax at 618-500-6725.

Location: 10200 W Main St, Belleville, IL, 62223-1408
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891709168
Provider Name
Frederick Gustave
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
10200 W Main St, Belleville, IL, 62223-1408
Phone Number
618-400-6725
Fax Number
618-500-6725
Provider Enumeration Date
07/29/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
10200 W Main St
City
Belleville
State
Illinois
Zip
62223-1408
Phone Number
618-400-6725
Fax Number
618-500-6725
person
Provider Business Mailing Address Details
Address
10200 W Main St
City
Belleville
State
Illinois
Zip
62223-1408
Phone Number
618-400-6725
Fax Number
618-500-6725
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
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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