1. Home
  2. Directory
  3. Illinois
  4. Skokie
  5. Dentist
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. GARY GUSTAVSON D.D.S.
NPI 1003812579
Dentist in Skokie, IL

Active since June 21, 2005
64 OLD ORCHARD CTR, STE 528, SKOKIE, IL 60077(847) 675-3311 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gary Gustavson D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GARY GUSTAVSON D.D.S. (NPI 1003812579) is an individual dentist in Skokie, Illinois, licensed in Illinois (19-15094) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1003812579
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. GARY GUSTAVSONCredential: D.D.S.
Location Address64 OLD ORCHARD CTR, STE 528Skokie, IL 60077-1440
Mailing Address64 Old Orchard Ctr, Ste 528Skokie, IL 60077-1440 · (847) 675-3311
Phone(847) 675-3311
Sole ProprietorNo
Enumeration DateJune 21, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1003812579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 19-15094
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
64 OLD ORCHARD CTR, Skokie, IL 60077
Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROGER LANCE ROBBINS D.D.S.
Dentist (General Practice)
64 OLD ORCHARD CTR, STE 528
SKOKIE, IL 60077
Cook County (847) 675-3311
DR. PHYLLIS MARX MD
Obstetrics & Gynecology
64 OLD ORCHARD CTR, SUITE 200
SKOKIE, IL 60077
Cook County (847) 673-3180

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Gustavson's NPI number?

The NPI number for Gary Gustavson is 1003812579. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Where is Gary Gustavson located?

Gary Gustavson practices at 64 Old Orchard Ctr Ste 528, Skokie, IL 60077. The listed phone number is (847) 675-3311.

What is Gary Gustavson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Gary Gustavson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.