Frederick Gustave, D.D.S., Pc

LBN: Frederick Gustave, D.D.S., Pc
Frederick Gustave, D.D.S., Pc is an health care organization with primary practice located at 1111 E Walnut St Suite B, Carbondale IL 62901-5000. The organization recently has only one registered license in Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Frederick Gustave, D.D.S., Pc can be contacted via phone (618) 529-2571, or through Gustave, Frederick via phone (618) 529-2571.

Contact Information

Primary practice address
1111 E Walnut St Suite B Carbondale IL 62901-5000
Phone: (618) 529-2571
Fax: (618) 529-2572
Website:
Map and Directions
Authorized official contact:
Name: Gustave, Frederick Doctor of Dental Surgery (DDS)
Phone: (618) 529-2571

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery 261QS0112X 019016600 Illinois

Profile Details

NPI number 1477720985
LBN Legal business name Frederick Gustave, D.D.S., Pc
DBA Doing business as
Authorized official Gustave, Frederick Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2008
Last updated May 14th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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