DR. JEFFREY DAVID GUSTIN (NPI# 1154523264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154523264 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY DAVID GUSTIN |
| Credential | DDS |
| Practice Address |
320 Kings Hwy E Fairfield CT 06825-4813 |
| Practice Telephone | 2033376262 |
| Mailing Telephone | 2033376262 |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2015-12-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 9408 | CT | Dental Providers |
| Street Address |
320 KINGS HWY E |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06825-4813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043423593 | Family Dental Group Fairfield, LLC | Dentist | 320 Kings Hwy E, Fairfield, CT 06825-4813 | 2007-05-08 |
| 1710342050 | Fairfield Family Dental Group PC | Dentist | 320 Kings Hwy E, Fairfield, CT 06825-4813 | 2015-12-30 |
| 1164685459 | Richard Matthew Delvecchio | Dentist | 320 Kings Hwy E, Fairfield, CT 06825-4813 | 2008-07-07 |
| 1841339041 | Kenneth Epstein | Dentist | 320 Kings Hwy E, Fairfield, CT 06825-4813 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376535 | Andrew Kalach | Physical Therapist | 2373 Black Rock Turnpike, Fairfield, CT 06825 | 2020-08-13 |
| 1346871423 | Clarivision-advanced Eye Care | Optometrist | 40 Black Rock Turnpike, Fairfield, CT 06825 | 2020-01-28 |
| 1730720145 | L Burke LLC | Marriage & Family Therapist | 2501 Old Post Rd, 2nd Floor, Fairfield, CT 06825 | 2019-10-07 |
| 1760045066 | Stephen Miguel Pou | Dentist | 2150 Black Rock Tpke Ste 201, Fairfield, CT 06825 | 2019-04-22 |
| 1548716111 | Connecticut Orthopaedic Specialists, PC | Specialist | 425 Boston Post Road, Fairfield, CT 06825 | 2016-09-01 |
| 1497131239 | Alice Z Kelly | Social Worker | 113 Sky Top Drive, Fairfield, CT 06825 | 2015-08-04 |
| 1902218647 | John Feiler | Occupational Therapist | 175 Jefferson St., Fairfield, CT 06825 | 2014-05-29 |
| 1710242870 | Bridge Partnership, LLC | Community/Behavioral Health | 2505 Black Rock Turnpike, 2nd Floor, Fairfield, CT 06825 | 2012-07-05 |
| 1154614543 | Center for The Healing Arts, PC | Internal Medicine | 501 Kings Highway East, Suite 108, C/o Whole Body Medicine, Fairfield, CT 06825 | 2011-05-18 |
| 1538468012 | Barbara Cohen | Occupational Therapist | 175 Jefferson Street, Fairfield, CT 06825 | 2011-03-23 |
| Find all providers in zip 06825 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760045066 | Stephen Miguel Pou | Dentist | 2150 Black Rock Tpke Ste 201, Fairfield, CT 06825 | 2019-04-22 |
| 1093282923 | Valle Smiles | Dentist | 1955 W Texas St Ste 12, Fairfield, CA 94533-4462 | 2018-10-29 |
| 1437658614 | S.y.y Jang Dds Corp | Dentist | 1955 W Texas St Ste 2c, Fairfield, CA 94533-4462 | 2018-02-02 |
| 1104347384 | Avanthi Tiruvadi | Dentist | 1700 Post Rd Ste A, Fairfield, CT 06824-5795 | 2017-06-28 |
| 1659823110 | Neal Merchant | Dentist | 2801 Waterman Blvd Ste 120, Fairfield, CA 94534-2987 | 2016-11-01 |
| 1346625407 | Bernadette Tesorero Ancheta | Dentist | 1555 Webster St, Suite B, Fairfield, CA 94533-4999 | 2015-07-29 |
| 1033521299 | Wendy Wang Austin | Dentist | 2226 Black Rock Tpke Ste 1, Fairfield, CT 06825-3240 | 2014-05-22 |
| 1306275482 | Steve Halili Galvan | Dentist | 1500 Oliver Rd, Ste. F, Fairfield, CA 94534-3450 | 2013-11-08 |
| 1568890838 | Gill and Lambridis Dental Corporation | Dentist | 3332 N Texas St Ste 5c, Fairfield, CA 94533-9758 | 2013-10-24 |
| 1578990099 | Navid Mehranpour | Dentist | 1545 N Texas St Ste 311, Fairfield, CA 94533-5623 | 2013-09-29 |
| Find all providers in FAIRFIELD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.