Gustafson, Chad Michael

Gustafson, Chad Michael is an individual health care provider with primary practice located at 925 Cross Gates Blvd , Slidell LA 70461-3920. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Gustafson, Chad Michael can be contacted via phone (985) 646-1726.

Contact Information

Primary practice address
925 Cross Gates Blvd Slidell LA 70461-3920
Phone: (985) 646-1726
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6314 Louisiana

Profile Details

NPI number 1306100011
LBN Legal business name Gustafson, Chad Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2012
Last updated Jul 12th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers