Frederick Gustave, DDS
NPI #1891709168 in Belleville, Illinois
Provider Information
- NPI Number
- 1891709168
- Entity Type
- Individual
- Name
- Frederick Gustave, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Credential
- DDS
- Enumeration Date
- Jul 29, 2006
- Last Updated
- Jan 4, 2024
Practice Location
- Address
- 10200 W MAIN ST
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62223-1408
- Phone
- (618) 400-6725
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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Organizations
| Provider Name | |
|---|---|
| Southern Illinois Oral & Maxillofacial Surgery, Ltd. | AI Deep Dive |
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