Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Melissa Marks Gustafson, DDS, PA

Organization General Practice Dentistry · NPI 1285703876

Melissa Marks Gustafson, DDS, PA is a General Practice Dentistry in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3010 Baucom Rd Ste 200
Charlotte, NC 28269-0983
Phone: (704) 596-0021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 7153 (NC)

Record details

NPI number1285703876
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melissa Gustafson — Owner · (704) 596-0021
NPI enumeratedNovember 7, 2006
Last updated in NPPESJanuary 18, 2017
Mailing address3010 Baucom Rd, Ste 200, Charlotte, NC 28269-0983

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