William E Gustafson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

1738 Issued in TN

Practice address

875 Old Clemson Hwy
Seneca, SC 29672-8060

Phone

(864) 654-5733

Fax

(864) 654-1117

NPI assigned

Jun 21, 2006

Last updated

Jul 8, 2007By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• John G McRoberts DMD PA

  • General Practice Dentistry
  • Seneca, SC
  • NPI 1144234063
  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801832647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 349",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296330349",
            "telephone_number": "864-654-5733",
            "fax_number": "864-654-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 OLD CLEMSON HWY",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296728060",
            "telephone_number": "864-654-5733",
            "fax_number": "864-654-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTAFSON",
        "first_name": "WILLIAM",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "1738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2X1738",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greenville Proaxis Therapy LLC (ATI Physical Therapy of Greenville)
• Greenville Surgery Center LP (EHA Surgery Center Seneca)
• Stephanie Gale Gross, PA-C
• Carey Molin Gully, M.D.
• Samiksha Gupta, M.D.
• H Joseph Foster III (Foster Foot Clinic)
• H. Joseph Foster III (Foster Foot Clinic)
• H. Joseph Foster III (Superior Orthotics and Prosthetics)
• Emily Marie Hadler
• Christopher Richard Hagan, PHARMD

• Dentist in Seneca, SC
• Providers in Seneca, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.