Alyssa Gustafson
Dental Hygienist
1099 N Main St Ste 102
Summerville
, South Carolina 29483-7300
Alyssa Gustafson
Dental Hygienist
1099 N Main St Ste 102
Summerville
, South Carolina 29483-7300
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About
Features
Specialties
- Dental Hygienist
Languages spoken
- English
Location
First Address
- Alyssa Gustafson
- 3102 Poplar Grove Pl
- Summerville, SC
- Zip : 29483-1697
- Phone :
Second Address
- Alyssa Gustafson
- 1099 N Main St Ste 102
- Summerville, SC
- Zip : 29483-7300
- Phone : (843) 536-8577
Reviews
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What type of doctor is Alyssa Gustafson
In what state does Alyssa Gustafson practice in?
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Is Alyssa Gustafson a sole practitioner?
Is Alyssa Gustafson accepting new patients?
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Does Alyssa Gustafson offers telemedicine?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 11961 | SC |
National Provider Identifier
| NPI | 1053081232 |
|---|---|
| Provider Name | Alyssa Gustafson |
| First Address | Summerville, SC 29483-1697 |
| Second Address | Summerville, SC 29483-7300 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/09/2021 |
| Last Update Date | 17/09/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.