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DR. JARED JOHN GUSTAFSON D.D.S
NPI 1073806303
Dentist in Arlington, MN

Active since May 19, 2011PECOS Enrolled
106 3RD AVE NW, ARLINGTON, MN 55307(507) 964-2705(507) 964-5848 Get Directions Write a Review

NPPES record last updated: May 19, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jared John Gustafson D.d.s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JARED JOHN GUSTAFSON D.D.S (NPI 1073806303) is an individual dentist in Arlington, Minnesota, licensed in Minnesota (12927) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073806303
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JARED JOHN GUSTAFSONCredential: D.D.S
Location Address106 3RD AVE NWArlington, MN 55307-2099
Mailing Address106 3rd Ave Nw, Po Box 352Arlington, MN 55307-2099 · (507) 964-2705 · Fax (507) 964-5848
Phone(507) 964-2705
Fax(507) 964-5848
Sole ProprietorNo
Enumeration DateMay 19, 2011
✔ NPI 1073806303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MN · 12927
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
106 3RD AVE NW, Arlington, MN 55307
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jared John Gustafson D.d.s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55307 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRITTNEY ABRAHAM RDH, OMT
Dental Hygienist
106 3RD AVE NW
ARLINGTON, MN 55307
Sibley County (507) 766-7789

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jared Gustafson's NPI number?

The NPI number for Jared Gustafson is 1073806303. It was assigned to this individual provider in the NPPES registry on May 19, 2011.

Where is Jared Gustafson located?

Jared Gustafson practices at 106 3rd Ave NW, Arlington, MN 55307. The listed phone number is (507) 964-2705.

What is Jared Gustafson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jared Gustafson enrolled in Medicare?

Yes. Jared Gustafson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jared Gustafson was last updated on May 19, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.