What is Gary Gustavson's NPI number?

Gary Gustavson's National Provider Identifier (NPI) is 1003812579, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Gary Gustavson's specialty?

Gary Gustavson is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).

Where is Gary Gustavson located?

Gary Gustavson's practice location on file with NPPES is 64 Old Orchard Ctr, Skokie, IL 60077-1440.

What is Gary Gustavson's phone number?

The practice phone number listed in the NPPES registry for Gary Gustavson is (847) 675-3311.

Is Gary Gustavson's NPI active?

Yes — Gary Gustavson's NPI (1003812579) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Gary Gustavson, D.D.S.

NPI 1003812579 · Dentist · Skokie, IL

Gary Gustavson, D.D.S. is a Dentist provider in Skokie, IL (NPI 1003812579).

Provider details

NPI number: 1003812579
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: D.D.S.
Sex: Male
License: 19-15094 (IL)

Specialties & taxonomies

DentistPrimary122300000XLicense 19-15094 (IL)
Dental Providers

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
21 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

64 Old Orchard Ctr

Ste 528

Skokie, IL 60077-1440

Phone: (847) 675-3311

Approximate (ZIP-level) locationGet directions

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Mailing address