NPI 1053081232
Alyssa Gustafson, RDH
Practice location
- Address
- 1099 N Main St STE 102, Summerville, SC 29483-7300
- Phone
- (843) 536-8577
- Mailing address
- 3102 Poplar Grove Pl, Summerville, SC 29483-1697
Registered specialties
Dental Hygienist
Primary
Registry record
- NPI
- 1053081232
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 17 Sep 2021
- Record last updated
- 17 Sep 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.