Frederick Gustave, DDS, PC
Frederick Gustave, DDS, PC is an Oral and Maxillofacial Surgery Clinic/Center in Carbondale, Illinois. Licensed in Illinois. Registered with an NPI since 2008.
- Licensed in
- IL
- In the registry since
- 2008
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1111 E Walnut St Ste BCarbondale, IL 62901-5000
Phone: (618) 529-2571
Fax: (618) 529-2572
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery Clinic/Center (primary) | Taxonomy 261QS0112X · Licence 019016600 (IL) |
|---|
Record details
| NPI number | 1477720985 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Frederick Gustave — Owner/Oral Surgeon · (618) 529-2571 |
| NPI enumerated | May 14, 2008 |
| Last updated in NPPES | May 14, 2008 |
| Mailing address | 1111 E Walnut St, Suite B, Carbondale, IL 62901-5000 |
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