Derek L Gustafson, D.D.S., P.A. in Bigfork - General Practice
Derek L Gustafson, D.D.S., P.A. - NPI 1902061666
Derek L Gustafson, D.D.S., P.A. is a General Practice in Bigfork, Minnesota. Derek L Gustafson, D.D.S., P.A. practices all healthcare services and medical treatments related to General Practice. The NPI Number for Derek L Gustafson, D.D.S., P.A. is 1902061666. The last update date is 2009-09-15.
Derek L Gustafson, D.D.S., P.A.'s current location address is 100 Pine Tree Dr., Bigfork, Minnesota. You can contact this provider via phone number 2187433707. The mailing address for Derek L Gustafson, D.D.S., P.A. is 100 Pine Tree Dr., Bigfork, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Derek L Gustafson, D.D.S., P.A. |
|---|---|
| Address | 100 Pine Tree Dr., Bigfork, Minnesota |
| Phone Number | 2187433707 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Gustafson Lynn Derek |
| Credentials | D.D.S. |
| Telephone Number | 2187433707 |
NPI Number Detail
| NPI Number | 1902061666 |
|---|---|
| Provider Enumeration Date | 2008-07-22 |
| Last Updated Date | 2009-09-15 |
Provider Mailing Address Detail
| Address | 100 Pine Tree Dr. |
|---|---|
| City | Bigfork |
| State | Minnesota (MN) |
| Post Code | 566285596 |
| Phone Number | 2187433707 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D12387 |
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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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What is the unique 10-digit identification code issued to Derek L Gustafson, D.D.S., P.A. by the Centers for Medicare & Medicaid Services?
The Derek L Gustafson, D.D.S., P.A. has been assigned the NPI (National Provider Identifier) 1902061666 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Derek L Gustafson, D.D.S., P.A.?
The Derek L Gustafson, D.D.S., P.A. is situated at 100 Pine Tree Dr., in the city of Bigfork, state of MN, with the zip code 566285596.
What is Derek L Gustafson, D.D.S., P.A.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Derek L Gustafson, D.D.S., P.A. is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1902061666 to Derek L Gustafson, D.D.S., P.A.?
The Centers for Medicare & Medicaid Services assigned the 1902061666 to Derek L Gustafson, D.D.S., P.A. on 2008-07-22.
When was the information related to Derek L Gustafson, D.D.S., P.A. most recently updated or refreshed?
The details pertaining to the Derek L Gustafson, D.D.S., P.A., including its address, specialty, and other relevant information, were last updated or refreshed on 2009-09-15.