Benjamin Clayton Gutschow, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

600148515 Issued in WI

Practice address

615 W Clairemont Ave
Eau Claire, WI 54701-6223

Phone

(715) 833-6271

NPI assigned

Jun 11, 2024

Last updated

Jun 11, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1558103382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 INDEPENDENCE DR APT 6",
            "city": "ELK MOUND",
            "state": "WI",
            "postal_code": "547394235",
            "telephone_number": "715-498-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W CLAIREMONT AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016223",
            "telephone_number": "715-833-6271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTSCHOW",
        "first_name": "BENJAMIN",
        "middle_name": "CLAYTON",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "600148515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmelina Gurrieri, M.D.
• Brent Gust, MSW, APSW
• Andrea L. Gustafson, L.C.S.W., L.M.T.
• Kristen Wilhelmina Gustavson, PH.D.
• Rebekah Mary Guthman, MD
• Mikala Gwinn, BA
• Ross Owen Gwynn, H.I.S.
• Brenda Sue Gyorfi, PHARMD
• Erica Gyorfi, MCMSC, PA-C
• Barbara Haag, OT

• Dentist in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.