ALYSSA GUSTAFSON RDH
NPI 1053081232
Dental Hygienist in Summerville, SC

Active since September 17, 2021
1099 N MAIN ST STE 102, SUMMERVILLE, SC 29483(843) 536-8577 Get Directions Write a Review

NPPES record last updated: September 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alyssa Gustafson Rdh NPPES

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

ALYSSA GUSTAFSON RDH (NPI 1053081232) is an individual dental hygienist in Summerville, South Carolina, licensed in South Carolina (11961) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1053081232
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameALYSSA GUSTAFSONCredential: RDH
Location Address1099 N MAIN ST STE 102Summerville, SC 29483-7300
Mailing Address3102 Poplar Grove PlSummerville, SC 29483-1697
Sole ProprietorNo
Enumeration DateSeptember 17, 2021
NPPES CertifiedSeptember 17, 2021
NPI 1053081232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License Licensed in SC · 11961
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
1099 N MAIN ST STE 102, Summerville, SC 29483

Other Providers at the Same Location NPPES 4

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

Dentist (General Practice)
1099 N MAIN ST STE 102
SUMMERVILLE, SC 29483
Dentist (General Practice)
1099 N MAIN ST STE 102
SUMMERVILLE, SC 29483
Dentist (General Practice)
1099 N MAIN ST STE 102
SUMMERVILLE, SC 29483
Dentist (General Practice)
1099 N MAIN ST STE 102
SUMMERVILLE, SC 29483

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 Alyssa Gustafson's NPI number?

The NPI number for Alyssa Gustafson is 1053081232. It was assigned to this individual provider in the NPPES registry on September 17, 2021.

Where is Alyssa Gustafson located?

Alyssa Gustafson practices at 1099 N Main St Ste 102, Summerville, SC 29483. The listed phone number is (843) 536-8577.

What is Alyssa Gustafson's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Alyssa Gustafson was last updated on September 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.