Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1245226752 Individual Practitioner Male Practitioner

Rylan Gustafson

Dentist - Endodontics • Chico, CA

Professional Overview & Biography Verified Profile Summary

Rylan Gustafson is a registered healthcare professional specializing in Dentist - Endodontics in Chico, CA. Practice services are available at 101 RALEY BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

101 Raley Blvd
Suite 202

Chico, CA 959288352

Telephone 5305924688
Associated Practice Facility / Clinic
🏢 Physical Medicine Inc Facility NPI 1295943926

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in Chico, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.5 Yrs
Regional Practice Density
4 Specialists

Practicing in Chico, CA (1060 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License CA 57593

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Alexander Jake Moreno , DDS

Dentist - General Practice

NPI 1144619982

Doctor of Dental Surgery

Dr. David Lim , DMD

Dentist - Endodontics

NPI 1295119972

Doctor of Dental Medicine

NPI 1518024157

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 18, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location August 18, 2011

Registered at 101 RALEY BLVD, SUITE 202, CHICO, CA 959288352 (Tel: 5305924688)

📍
Updated Business Mailing Address August 18, 2011

Registered at 101 RALEY BLVD, STE 202, CHICO, CA 959288352 (Tel: 5305924688)

👤
Provider Name / Credentials Updated August 18, 2011

Recorded as RYLAN GUSTAFSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2011

Dentist (License #57593 in CA)

🟢
Initial NPI Registration & Enumeration September 21, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245226752
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 21, 2005
Last Update: August 18, 2011
Sole Proprietor: Yes

Mailing Address

101 Raley Blvd, Ste 202

Chico, CA 959288352

Phone: 5305924688

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.