FREDERICK GUSTAVE (DDS) – Oral and Maxillofacial Surgery (Dentist), NPI 1891709168

FREDERICK GUSTAVE (DDS) is a healthcare provider. based in Carbondale, Illinois. specializing in Oral and Maxillofacial Surgery (Dentist). They hold the professional credentials DDS. They hold a License No. 019016600 (IL). The NPI Number for FREDERICK GUSTAVE (DDS) is 1891709168

Main info

Male
Sole Proprietor
Name
FREDERICK GUSTAVE (DDS)
NPI
1891709168
Phone
(618) 529-2571
Address
1111 E WALNUT ST
Enumeration Date
29 July 2006
Last Update Date
4 January 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for FREDERICK GUSTAVE (DDS)

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

    SUITE B

    CARBONDALE, IL 629015006

    Phone: (618) 529-2571

    Fax: (618) 529-2572

    Type: Location

  • 10200 W MAIN ST

    BELLEVILLE, IL 622231408

    Phone: (618) 400-6725

    Fax: (618) 500-6725

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $366.

Total Amount is formed as General ($366) + Research ($0) + Ownership ($0) = $366.

Last reported payment date: 2024-09-25 • Largest payer in this snapshot: Dentsply Sirona Inc ($252).

Total Amount

$366

General + Research + Ownership

Payments

9

Total payment records

General Amount

$366

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-25

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

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

Insurance plans in this area (ZIP 62901)

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Reviews

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Frequently asked questions

What number should I use to identify FREDERICK GUSTAVE (DDS) for billing?
Administrative and clinical systems typically use NPI 1891709168 for FREDERICK GUSTAVE (DDS).
Is FREDERICK GUSTAVE (DDS) currently accepting referrals based on NPI status?
Registry metadata lists FREDERICK GUSTAVE (DDS) as active.
What type of care does FREDERICK GUSTAVE (DDS) provide?
FREDERICK GUSTAVE (DDS)'s profile centers on Oral and Maxillofacial Surgery (Dentist). Clinical services aligned with this taxonomy classification.
What geographic area is tied to FREDERICK GUSTAVE (DDS)?
FREDERICK GUSTAVE (DDS) is associated with Carbondale, Illinois in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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