Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376816462 Individual Practitioner Male Practitioner

Dr. Ryan R Gustafson , DDS

Dentist • Hanscom Afb, MA

Professional Overview & Biography Verified Profile Summary

Dr. Ryan Gustafson, DDS is a registered healthcare professional specializing in Dentist in Hanscom Afb, MA. Practice services are available at 90 VANDENBERG DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

90 Vandenberg Dr
66 Mds (Afmc)

Hanscom Afb, MA 017312104

Telephone 7812256789
Fax 7812252561
Associated Practice Facility / Clinic
🏢 66th Medsq-Hanscom Facility NPI 1508831553

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Hanscom Afb, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.4 Yrs
Regional Practice Density
4 Specialists

Practicing in Hanscom Afb, MA (3030 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 61707

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

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

24 Associated Practitioners
Alina Kelley , LCSW

Social Worker - Clinical

NPI 1003602665

Licensed Clinical Social Worker

Edith Skelly , PA

Physician Assistant - Medical

NPI 1033367180

Physician Assistant

Matthew Nicoli , LICSW

Social Worker - Clinical

NPI 1033432034

Licensed Independent Clinical Social Worker

Daniel Tesch , FNP

Nurse Practitioner - Family

NPI 1114533551

Family Nurse Practitioner

NPI 1124348008

Doctor of Pharmacy (Pharm.D.)

Jazmyne Berry

Physician Assistant

NPI 1124789482

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 14, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location January 14, 2016

Registered at 90 VANDENBERG DR, 66 MDS (AFMC), HANSCOM AFB, MA 017312104 (Tel: 7812256789)

📍
Updated Business Mailing Address January 14, 2016

Registered at 90 VANDENBERG DR, 66 MDS (AFMC), HANSCOM AFB, MA 017312104 (Tel: 7812256789)

👤
Provider Name / Credentials Updated January 14, 2016

Recorded as RYAN GUSTAFSON, D.D.S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2016

Dentist (License #61707 in CA)

🟢
Initial NPI Registration & Enumeration February 20, 2012

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: 1376816462
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 20, 2012
Last Update: January 14, 2016
Sole Proprietor: Yes

Mailing Address

90 Vandenberg Dr, 66 Mds (Afmc)

Hanscom Afb, MA 017312104

Phone: 7812256789

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.