SearchIllinoisOral and Maxillofacial Surgery (Dentist)

Frederick Gustave, DDS

NPI 1891709168 · on the registry since 2006 · sole proprietor

Practice

Address
10200 W Main St
Belleville, IL 62223
Phone
(618) 400-6725
Fax
(618) 500-6725
Organisation at this address
Oral Facial Surgery Institute Of Illinois P C
Center For Oral And Maxillofacial Surgery, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
Oral and Maxillofacial Surgery (Dentist)
1223S0112X
Also registered as
Oral and Maxillofacial Surgery (Dentist)
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-01-04

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 Illinois