Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEREK L GUSTAFSON, D.D.S., P.A.
Active OrganizationDEREK L GUSTAFSON, D.D.S., P.A. is a General Dentistry organization located in BIGFORK, Minnesota. NPI 1902061666 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · BIGFORK, MN
Registration Details
- NPI Number
- 1902061666
- Provider Type
- Organization
- NPI Issued
- Jul 22, 2008 (18.079378157626 yrs)
- Last Updated
- Sep 15, 2009
- License
-
D12387 (MN)
Practice Information
- Address
-
100 PINE TREE DR.BIGFORK, MN, 566285596Browse MN providers · Browse ZIP 56628
- Phone
- 2187433707
- Primary Specialty
-
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.