Search › Illinois › 1223S0112X
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
- 1223S0112X
1223S0112X
- Also registered as
- 1223S0112X
- 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