DR. GARY GUSTAVSON (D.D.S.) – Dentist, NPI 1003812579

DR. GARY GUSTAVSON (D.D.S.) is a healthcare provider. based in Skokie, Illinois. specializing in Dentist. They hold the professional credentials D.D.S.. They hold a License No. 19-15094 (IL). The NPI Number for DR. GARY GUSTAVSON (D.D.S.) is 1003812579

Main info

Male
Name
DR. GARY GUSTAVSON (D.D.S.)
NPI
1003812579
Phone
(847) 675-3311
Address
64 OLD ORCHARD CTR
Enumeration Date
21 June 2005
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for DR. GARY GUSTAVSON (D.D.S.)

  • 64 OLD ORCHARD CTR

    STE 528

    SKOKIE, IL 600771440

    Phone: (847) 675-3311

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60077)

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Frequently asked questions

Does DR. GARY GUSTAVSON (D.D.S.) have a public NPI I can cite?
Public records show DR. GARY GUSTAVSON (D.D.S.) under NPI 1003812579.
Is DR. GARY GUSTAVSON (D.D.S.)'s NPI status active today?
Active status means DR. GARY GUSTAVSON (D.D.S.)'s NPI record is not deactivated in the public file.
What services align with DR. GARY GUSTAVSON (D.D.S.)'s listing?
DR. GARY GUSTAVSON (D.D.S.)'s public classification highlights Dentist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. GARY GUSTAVSON (D.D.S.)?
DR. GARY GUSTAVSON (D.D.S.) is associated with Skokie, Illinois in the same public data insurers reference.
Who maintains DR. GARY GUSTAVSON (D.D.S.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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