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MR. DAN GUSTAVSON DDS
NPI 1063581635
Dentist - General Practice in Auburn, CA

Active since November 07, 2006
1240 HIGH ST UNIT 102, AUBURN, CA 95603(530) 830-3333(530) 889-9946 Get Directions Write a Review

NPPES record last updated: January 23, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Dan Gustavson Dds NPPES

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

MR. DAN GUSTAVSON DDS (NPI 1063581635) is an individual general practice provider in Auburn, California, licensed in California (36658) and active in the NPI registry since November 2006. He maintains a secondary practice location in Roseville.

NPPES Registry Identity

NPI1063581635
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMR. DAN GUSTAVSONCredential: DDS
Location Address1240 HIGH ST UNIT 102Auburn, CA 95603-5072
Mailing Address1240 High St Unit 102Auburn, CA 95603-5072 · (530) 530-3333 · Fax (530) 889-9946
Phone(530) 830-3333
Fax(530) 889-9946
Sole ProprietorNo
Enumeration DateNovember 7, 2006
Last NPPES UpdateJanuary 23, 2019
✔ NPI 1063581635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 36658
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1240 HIGH ST UNIT 102, Auburn, CA 95603
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Secondary Practice Location 1

Location 11186 Roseville Pkwy Ste 120Roseville, CA 95678-1385 · Phone (916) 780-3000

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 Dan Gustavson's NPI number?

The NPI number for Dan Gustavson is 1063581635. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Where is Dan Gustavson located?

Dan Gustavson practices at 1240 High St Unit 102, Auburn, CA 95603. The listed phone number is (530) 830-3333.

What is Dan Gustavson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Dan Gustavson was last updated on January 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.