DR. CHAD MICHAEL GUSTAFSON (NPI# 1306100011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306100011 |
| Entity Type | Individual |
| Full Name | DR. CHAD MICHAEL GUSTAFSON |
| Credential | DDS |
| Practice Address |
925 Cross Gates Blvd Slidell LA 70461-3920 |
| Mailing Address |
100 Alberu St Slidell LA 70460-2543 |
| Practice Telephone | 9856461726 |
| Mailing Telephone | 9852909558 |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2013-07-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6314 | LA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689039521 | Chad Gustafson | Registered Nurse | 2695 Pine Ridge Blvd, Red Wing, MN 55066-3978 | 2015-12-18 |
| 1518024157 | Chad Anders Gustafson | Dentist | 101 Raley Blvd, Suite 202, Chico, CA 95928-8352 | 2007-01-02 |
| Street Address |
925 CROSS GATES BLVD |
| City | SLIDELL |
| State | LA |
| Zip Code | 70461-3920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154431989 | Gordon A Bech | Dentist | 925 Cross Gates Blvd, Slidell, LA 70461 | 2006-08-30 |
| 1992827646 | Ronald J Gustafson | Dentist | 925 Cross Gates Blvd, Slidell, LA 70461-3920 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013553577 | Kira Gilmore Smith | Nurse Practitioner | Pelican Urgent Care, 2375 Gause Blvd. East, Slidell, LA 70461 | 2019-11-20 |
| 1104477256 | Peter Khong | Pharmacy | 2915 Us-190, Mandeville, LA 70461 | 2019-09-20 |
| 1457844706 | April Hughes Whitfield | Counselor | 1313 Brownswitch Rd, Ste D, Slidell, LA 70461 | 2018-06-12 |
| 1154824761 | Lisa Michele Mcclinton | Counselor | 1212 Montgomery Blvd, Slidell, LA 70461 | 2018-03-10 |
| 1952816902 | Keiona Monae Thompson | Counselor | 1121 Clairise Ct, Slidell, LA 70461 | 2017-12-12 |
| 1275048688 | Aisha Cade | Counselor | 250 Cross Gates Blvd, Slidell, LA 70461 | 2017-12-07 |
| 1598285405 | Sureway Transits | Non-emergency Medical Transport (VAN) | 135 Rue De La Paix, Slidell, LA 70461 | 2017-06-21 |
| 1043743198 | Natasha Hunter | Counselor | 1650 Barrymore St, Slidell, LA 70461 | 2017-04-05 |
| 1154873891 | Chaise A Bennett | Physical Therapist | 2040 Gause Blvd, Suite 6, Slidell, LA 70461 | 2016-10-28 |
| 1104373539 | Kaonta Simmons | Counselor | 2185 Wellington Ln, Slidell, LA 70461 | 2016-09-01 |
| Find all providers in zip 70461 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194218263 | Michael F Leblanc Jr. | Dentist | 1101 Robert Blvd Ste A, Slidell, LA 70458-2081 | 2018-06-12 |
| 1588170112 | Heath Bryan Coleman, Dds of Louisiana II, A Professional Dental LLC | Dentist | 170 Northshore Blvd Ste B, Slidell, LA 70460-6820 | 2017-12-19 |
| 1609228428 | Exceptional Dental of Slidell | Dentist | 101 Smart Pl, Suite B, Slidell, LA 70458-2039 | 2016-07-05 |
| 1821486739 | Dr Lisa Ann Loescher & Associates Family Dentistry LLC | Dentist | 1400 Old Spanish Trl Ste A, Slidell, LA 70458-5022 | 2014-12-30 |
| 1548607674 | Louisiana Dental Professionals, Donovan Dronet, Dds, A Professional De | Dentist | 2170 Gause Boulevard, Suite 133, Slidell, LA 70460 | 2013-05-30 |
| 1376710103 | Ira Robert Pitfield | Dentist | 103 Smart Place, Ste B, Slidell, LA 70458 | 2008-05-12 |
| 1336341767 | Ronnie A Deniger | Dentist | 2300 Gause Blvd E, Slidell, LA 70461-4141 | 2007-06-05 |
| 1467669804 | John J Killeen | Dentist | 110 Village St, Slidell, LA 70458-5300 | 2007-05-16 |
| 1780899955 | Rebecca Lynn Blum | Dentist | 1680 Old Spanish Trail, Slidell, LA 70458 | 2007-05-11 |
| 1346376811 | Robert John Rooney II | Dentist | 100 Smart Pl, Slidell, LA 70458-2040 | 2007-02-26 |
| Find all providers in SLIDELL | ||||
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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.