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RYLAN GUSTAFSON NPI 1245226752


NPI Information

NPI: 1245226752
Provider Name: RYLAN GUSTAFSON
Classification: Dentist - 1223E0200X
Entity Type: Individual

Specialization: Endodontics

Address:
101 RALEY BLVD
SUITE 202
CHICO, CA
ZIP 95928
Phone: (530) 592-4688
Get Directions

Rylan Gustafson is an endodontics dentist in Chico, CA. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. Rylan Gustafson NPI is 1245226752. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

101 RALEY BLVD
SUITE 202
CHICO, CA
ZIP 95928-352
Phone: (530) 592-4688

The enumeration date for this NPI number is 9/21/2005 and was last updated on 8/18/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223E0200XDentistEndodontics57593CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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