Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114033214 Individual Practitioner Male Practitioner

Dr. Mark Edward Gustafson , DDS

Dentist - General Practice • Wooster, OH

Professional Overview & Biography Verified Profile Summary

Dr. Mark Gustafson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Wooster, OH. Practice services are available at 3431 COMMERCE PARKWAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3431 Commerce Parkway
Suite A

Wooster, OH 44691

Telephone 3302648973
Fax 3302623072
Associated Practice Facility / Clinic
🏢 Amison Dds Llc Facility NPI 1346613056

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Wooster, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.6 Yrs
Regional Practice Density
18 Specialists

Practicing in Wooster, OH (4287 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OH 30-01-7218

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License OH 30-017218

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0518836 (OH)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 04, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location September 04, 2009

Registered at 3431 COMMERCE PARKWAY, SUITE A, WOOSTER, OH 44691 (Tel: 3302648973)

📍
Updated Business Mailing Address September 04, 2009

Registered at 3431 COMMERCE PARKWAY, SUITE A, WOOSTER, OH 44691 (Tel: 3302648973)

👤
Provider Name / Credentials Updated September 04, 2009

Recorded as MARK GUSTAFSON, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2009

Dentist (License #30-01-7218 in OH)

🟢
Initial NPI Registration & Enumeration August 22, 2006

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: 1114033214
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2006
Last Update: September 04, 2009
Sole Proprietor: Yes

Mailing Address

3431 Commerce Parkway, Suite A

Wooster, OH 44691

Phone: 3302648973

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.