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MATTHEW H. GUSTAFSSON D.D.S., INC.
NPI 1144559162
Dentist - Pediatric Dentistry in Truckee, CA

Active since December 22, 2009
11149 BROCKWAY RD STE 100, TRUCKEE, CA 96161(530) 550-9311(530) 550-8655 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Matthew H. Gustafsson D.d.s., Inc. NPPES

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

MATTHEW H. GUSTAFSSON D.D.S., INC. (NPI 1144559162), doing business as Truckee Pediatric Dentistry, is a healthcare organization registered as a pediatric dentistry in Truckee, California and active in the NPI registry since December 2009. The organization lists Matthew Gustafsson, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1144559162
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameMATTHEW H. GUSTAFSSON D.D.S., INC.
Location Address11149 BROCKWAY RD STE 100Truckee, CA 96161-2212
Mailing Address11149 Brockway Rd Ste 100Truckee, CA 96161-2212 · (530) 550-9311 · Fax (530) 550-8655
Phone(530) 550-9311
Fax(530) 550-8655
Organization SubpartNo
Authorized OfficialMatthew GustafssonOwner/dentist · (530) 550-9311
Enumeration DateDecember 22, 2009
Last NPPES UpdateFebruary 27, 2025
NPPES CertifiedFebruary 27, 2025
✔ NPI 1144559162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in CA · 55527
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
11149 BROCKWAY RD STE 100, Truckee, CA 96161
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Other Names 1

Doing Business AsTruckee Pediatric Dentistry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. MATTHEW H GUSTAFSSON D.D.S, M.S.
Dentist (Pediatric Dentistry)
11149 BROCKWAY RD STE 100
TRUCKEE, CA 96161
Placer County (530) 550-9311

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 Matthew H. Gustafsson D.D.S., Inc.'s NPI number?

The NPI number for Matthew H. Gustafsson D.D.S., Inc. is 1144559162. It was assigned to this organization in the NPPES registry on December 22, 2009. The provider is doing business as Truckee Pediatric Dentistry.

Where is Matthew H. Gustafsson D.D.S., Inc. located?

Matthew H. Gustafsson D.D.S., Inc. is located at 11149 Brockway Rd Ste 100, Truckee, CA 96161. The listed phone number is (530) 550-9311.

What is Matthew H. Gustafsson D.D.S., Inc.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Matthew H. Gustafsson D.D.S., Inc. was last updated on February 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.