FREDERICK GUSTAVE, D.D.S., PC – Oral and Maxillofacial Surgery Clinic/Center, NPI 1477720985

FREDERICK GUSTAVE, D.D.S., PC is a healthcare provider. based in Carbondale, Illinois. specializing in Oral and Maxillofacial Surgery Clinic/Center. The organization holds a License No. 019016600 (IL). The NPI Number for FREDERICK GUSTAVE, D.D.S., PC is 1477720985

Main info

Organization
Name
FREDERICK GUSTAVE, D.D.S., PC
NPI
1477720985
Phone
(618) 529-2571
Address
1111 E WALNUT ST
Authorized Official
DR. FREDERICK GUSTAVE OWNER/ORAL SURGEON DDS
Enumeration Date
14 May 2008
Last Update Date
14 May 2008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for FREDERICK GUSTAVE, D.D.S., PC

  • 1111, East Walnut Street, Carbondale, Jackson County, Illinois, 62901, United States

    SUITE B

    CARBONDALE, IL 629015000

    Phone: (618) 529-2571

    Fax: (618) 529-2572

    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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Insurance plans in this area (ZIP 62901)

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Frequently asked questions

How do I look up FREDERICK GUSTAVE, D.D.S., PC by NPI?
Use NPI 1477720985 when you need to reference FREDERICK GUSTAVE, D.D.S., PC in forms, claims, or directories.
Is FREDERICK GUSTAVE, D.D.S., PC's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is FREDERICK GUSTAVE, D.D.S., PC?
The page reflects Oral and Maxillofacial Surgery Clinic/Center for FREDERICK GUSTAVE, D.D.S., PC. Clinical services aligned with this taxonomy classification.
Where does public data place FREDERICK GUSTAVE, D.D.S., PC?
The snapshot lists Carbondale, Illinois for FREDERICK GUSTAVE, D.D.S., PC; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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