Gustavson & Robbins DDS, LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

01915094 Issued in IL

Legal business name

GUSTAVSON & ROBBINS DDS, LTD

Practice address

64 Old Orchard Shopping Ctr
Suite 528
Skokie, IL 60077-1425

Phone

(847) 675-3311

Fax

(847) 674-3133

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gary Wayne Gustavson, D.D.S.

Title

President

Phone

(847) 675-3311

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1851415178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 OLD ORCHARD SHOPPING CTR",
            "address_2": "SUITE 528",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771425",
            "telephone_number": "847-675-3311",
            "fax_number": "847-674-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 OLD ORCHARD SHOPPING CTR",
            "address_2": "SUITE 528",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771425",
            "telephone_number": "847-675-3311",
            "fax_number": "847-674-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUSTAVSON & ROBBINS DDS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "GUSTAVSON",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-675-3311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "01915094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikita Sarath Gummadi, FNP-BC
• Julia Gunina
• Chander Gupta, DMD
• Mikhail Gurovich, PHD, MPH, CADC, MISA
• Linda K Gustafson, PH.D.
• Gary Gustavson, D.D.S.
• Miriam Bette Gutmann, M.D.
• Daniel A Gutstein, MD
• Francine Sheryl Gutstein, LCSW
• Wendy Guyer, LCSW

• General Practice Dentistry in Skokie, IL
• Providers in Skokie, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.