DR. MARK EDWARD GUSTAFSON D.D.S.
NPI 1114033214
Dentist - General Practice in Wooster, OH

Q: What is Mark Gustafson's NPI number?

The NPI number for Mark Gustafson is 1114033214. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Q: What is Mark Gustafson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mark Gustafson was last updated on September 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since August 22, 2006

3431 COMMERCE PARKWAY, SUITE A, WOOSTER, OH 44691(330) 264-8973(330) 262-3072 Get Directions Write a Review

NPPES record last updated: September 4, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Mark Edward Gustafson D.d.s. NPPES

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

DR. MARK EDWARD GUSTAFSON D.D.S. (NPI 1114033214) is an individual general practice provider in Wooster, Ohio, licensed in Ohio (30-01-7218) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1114033214

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MARK EDWARD GUSTAFSONCredential: D.D.S.

Location Address3431 COMMERCE PARKWAY, SUITE AWooster, OH 44691

Mailing Address3431 Commerce Parkway, Suite AWooster, OH 44691 · (330) 264-8973 · Fax (330) 262-3072

Phone(330) 264-8973

Fax(330) 262-3072

Sole ProprietorYes

Enumeration DateAugust 22, 2006

Last NPPES UpdateSeptember 4, 2009

✔ NPI 1114033214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in OH · 30-01-7218✔ Licensed in OH · 30-017218

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.

3431 COMMERCE PARKWAY, Wooster, OH 44691

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Other Identifiers 1

Medicaid0518836OH

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 Mark Gustafson's NPI number?

The NPI number for Mark Gustafson is 1114033214. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Mark Gustafson located?

Mark Gustafson practices at 3431 Commerce Parkway Suite A, Wooster, OH 44691. The listed phone number is (330) 264-8973.

What is Mark Gustafson'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 Mark Gustafson was last updated on September 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.