Search › South Carolina › 124Q00000X
Alyssa Gustafson, RDH
NPI 1053081232 · on the registry since 2021
Practice
- Address
- 1099 N Main St Ste 102
Summerville, SC 29483 - Phone
- (843) 536-8577
- Organisation at this address
- Summerville Smiles Dental Office, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 124Q00000X
124Q00000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-09-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina