Melissa Marks Gustafson, DDS, PA
Melissa Marks Gustafson, DDS, PA is a Dental Clinic/Center in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2017.
- Licensed in
- NC
- In the registry since
- 2017
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3010 Baucom Rd Ste 200Charlotte, NC 28269-6765
Phone: (704) 596-0021
Fax: (704) 599-1155
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X · Licence 7153 (NC) |
|---|
Record details
| NPI number | 1962936104 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Melissa Gustafson — Practice Owner · (704) 596-0021 |
| Other names | Mallard Creek Family Dentistry |
| NPI enumerated | April 14, 2017 |
| Last updated in NPPES | April 14, 2017 |
| Mailing address | 3010 Baucom Rd Ste 200, Charlotte, NC 28269-6765 |
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