Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Derek L Gustafson, DDS

Individual provider Dentist · NPI 1356326029

Derek L Gustafson, DDS is a Dentist in New Brighton, Minnesota. Practices as a sole proprietor. Licensed in Minnesota and New Mexico.

Licensed in
MN, NM
In the registry since
2005
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

2467 15th St NW Ste A
New Brighton, MN 55112-5596
Phone: (651) 633-4883
Fax: (651) 633-4998
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 12387 (MN)
Dentist Taxonomy 122300000X · Licence DD2591 (NM)

Record details

NPI number1356326029
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedDecember 14, 2005
Last updated in NPPESJuly 23, 2008
Mailing address2467 15th St Nw, Suite A, New Brighton, MN 55112-5596

Other providers in New Brighton