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

Dr. John Victor Gustafson, DMD, MAGD, FADI

Individual provider General Practice Dentistry · NPI 1366533564

Dr. John Victor Gustafson, DMD, MAGD, FADI is a General Practice Dentistry in Elizabethtown, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

102 W High St
Elizabethtown, PA 17022-2019
Phone: (717) 367-1560
Fax: (717) 367-8856
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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 DS-02849-L (PA)

Record details

NPI number1366533564
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD , MAGD , FADI
Sole proprietorYes
NPI enumeratedSeptember 27, 2006
Last updated in NPPESJuly 8, 2007

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