NPI 1902061666 DEREK L GUSTAFSON, D.D.S., P.A. BIGFORK MN. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Derek L Gustafson, D.d.s., P.a. - NPI: 1902061666

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: DEREK L GUSTAFSON, D.D.S., P.A.
NPI Number: 1902061666
Entity Type Code: Organizational (2)
Authorized Official Name: DEREK LYNN GUSTAFSON
(PRESIDENT)
Mailing Address: 100 Pine Tree Dr.
Bigfork
State: MN US
Postal Code: 566285596
Phone Number: 2187433707
Fax Number:
NPI Enumeration Date: 07/22/2008
NPI Last Update Date: 09/15/2009
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 1223G0001X
License Number: D12387
Healthcare Provider Taxonomy:
(Secondary)
Y
State: MN
Taxonomy Type: Dental Providers
Taxonomy Classification: Dentist
Taxonomy Specialization: General Practice
Taxonomy Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.


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