Derek L Gustafson, DDS, PA
Derek L Gustafson, DDS, PA is a General Practice Dentistry in Bigfork, Minnesota. Licensed in Minnesota. Registered with an NPI since 2008.
- Licensed in
- MN
- In the registry since
- 2008
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
100 Pine Tree DrBigfork, MN 56628-5596
Phone: (218) 743-3707
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence D12387 (MN) |
|---|
Record details
| NPI number | 1902061666 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Derek Gustafson — President · (218) 743-3707 |
| NPI enumerated | July 22, 2008 |
| Last updated in NPPES | September 15, 2009 |
| Mailing address | 100 Pine Tree Dr., Po Box 14, Bigfork, MN 56628-5596 |
Other providers in Bigfork
-
Keri Ishibashi, DMD
303 Main St, Bigfork, MN 56628-2001 · (218) 743-3600
-
Dr. Peter L Taylor, DDS
303 Main Ave, Bigfork, MN 56628-0255 · (218) 743-3600