Frederick Gustave, D.D.S., PC
Frederick Gustave, D.D.S., PC is a healthcare organization registered as Oral and Maxillofacial Surgery Clinic/Center in Carbondale, IL, holding Type 2 (organization) NPI 1477720985 since 2008. The authorized official on file is Frederick Gustave, Owner/Oral Surgeon.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1477720985 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Frederick Gustave, D.D.S., PC |
| Practice address | 1111 E WALNUT ST, SUITE B, Carbondale, IL, 62901 |
| Phone | 6185292571 |
| Fax | 6185292572 |
| Enumeration date | 2008-05-14 |
| Last updated in NPPES | 2008-05-14 |
Authorized official
| Name | Frederick Gustave |
|---|---|
| Title | Owner/Oral Surgeon |
| Phone | 6185292571 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QS0112X | Oral and Maxillofacial Surgery Clinic/Center | Primary | 019016600 | IL |
Copy-ready billing details
Provider: Frederick Gustave, D.D.S., PC NPI: 1477720985 Taxonomy: 261QS0112X (Oral and Maxillofacial Surgery Clinic/Center) Address: 1111 E WALNUT ST, SUITE B, Carbondale, IL, 62901
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1417060674 | Michael Durr | Individual | General Practice Dentistry | Carbondale, IL |
| 1790527075 | Julie Wachtel | Individual | Specialist | Carbondale, IL |
| 1083592315 | Adedoyin Malik | Individual | Dentist | Carbondale, IL |
Verify this record
Cross-check NPI 1477720985 against the authoritative CMS record: view Frederick Gustave, D.D.S., PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Frederick Gustave, D.D.S., PC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-05-14.