Dr. Mark Edward Gustafson is a Wooster, Ohio based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Mark Edward Gustafson is 30-01-7218 for General Practice Dentistry in Ohio. His current practice location is 3431 Commerce Parkway, Suite A, Wooster. Patients can reach him at 330-264-8973.
Dr. Mark Edward Gustafson is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Mark Edward Gustafson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Mark Edward Gustafson
Specialization:
Dentist
Gender:
Male
Credentials:
D.D.S.
Accepts Medicare Assignment:
No
Practice Address:
3431 Commerce Parkway, Suite A, Wooster, Ohio, 44691
Phone:
330-264-8973
Fax:
330-262-3072
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details are as mentioned below.
NPI Number:
1114033214
NPI Enumeration Date:
22 Aug, 2006
NPI Last Update On:
04 Sep, 2009
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mark Edward Gustafson are as mentioned below.
License Number
Specialization
State
Status
30-01-7218
General Practice Dentistry
Ohio
Primary
30-017218
General Practice Dentistry
Ohio
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Mark Edward Gustafson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0518836
Medicaid
Ohio
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3431 Commerce Parkway, Suite A Wooster, Ohio
Zip:
44691
Phone Number:
330-264-8973
Fax Number:
330-262-3072
Patients can reach Dr. Mark Edward Gustafson at 3431 Commerce Parkway, Suite A, Wooster, Ohio or can call to book an appointment on 330-264-8973. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.