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

Dr. Gary Gustavson, DDS

Individual provider Dentist · NPI 1003812579

Dr. Gary Gustavson, DDS is a Dentist in Skokie, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in
IL
In the registry since
2005
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

64 Old Orchard Ctr Ste 528
Skokie, IL 60077-1440
Phone: (847) 675-3311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 19-15094 (IL)

Record details

NPI number1003812579
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 21, 2005
Last updated in NPPESJuly 13, 2026
Mailing address64 Old Orchard Ctr, Ste 528, Skokie, IL 60077-1440

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