Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEREK L GUSTAFSON, DDS
Active Sole ProprietorDEREK L GUSTAFSON, DDS is a General Dentistry healthcare provider located in NEW BRIGHTON, Minnesota. NPI 1356326029 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · NEW BRIGHTON, MN
Registration Details
- NPI Number
- 1356326029
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 14, 2005 (20.634890437507 yrs)
- Last Updated
- Jul 23, 2008
- Licenses
-
DD2591 (NM)12387 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2467 15TH ST NWSUITE ANEW BRIGHTON, MN, 551125596Browse MN providers · Browse ZIP 55112
- Phone
- 6516334883
- Fax
- 6516334998
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in NEW BRIGHTON, MN
| Name | Credential | NPI |
|---|---|---|
| DR. JEFFREY LINN BENSON | D.D.S. | 1407951536 |
| THOMAS C. HARDEL | DDS | 1528163854 |
| DR. RONALD HOWARD VESCIO | D.D.S. | 1518043827 |
| DR. NANCY JANE CASHMAN | DDS | 1679633127 |
| DR. MARK O FINNEY | DDS, PA | 1376676205 |
| DAVID A ONG | DDS | 1114180460 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.