Dr. Doyle D Gustafson , DDS
Dentist - General Practice • Omaha, NE
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Doyle Gustafson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Doyle Gustafson, DDS was a registered Dentist - General Practice practicing in Omaha, NE. Throughout an active medical career spanning 11 years, Dr. Gustafson provided care at the practice location at 10730 PACIFIC ST until profile deactivation on 2017-08-10.
Practice Location & Contact Primary Location
10730 Pacific St
Suite 105
Omaha, NE 68114
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Omaha, NE
Practicing in Omaha, NE (832 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist
Doctor of Dental Surgery
Dental Hygienist
Dentist
Doctor of Dental Surgery
Dentist - General Practice
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on August 10, 2017
NPI status registered as active in NPPES database
Registered at 10730 PACIFIC ST, SUITE 105, OMAHA, NE 68114 (Tel: 4023911047)
Registered at 10730 PACIFIC ST, SUITE 105, OMAHA, NE 68114 (Tel: 4023911047)
Recorded as DOYLE GUSTAFSON, DDS
Dentist (License #3092 in NE)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
10730 Pacific St, Suite 105
Omaha, NE 68114
Phone: 4023911047
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