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

Mr. Ryan R Gustafson, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1376816462

Mr. Ryan R Gustafson, DDS is a Student in an Organized Health Care Education/Training Program in Hanscom AFB, Massachusetts. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2012
Specialties on file
2
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.

See every abbreviation used in this directory →

Practice location Address checks out

90 Vandenberg Dr 66 Mds (afmc)
Hanscom AFB, MA 01731-2104
Phone: (781) 225-6789
Fax: (781) 225-2561
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 61707 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1376816462
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedFebruary 20, 2012
Last updated in NPPESJanuary 14, 2016
Mailing address90 Vandenberg Dr, 66 Mds (Afmc), Hanscom Afb, MA 01731-2104

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