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DR. AIMEE JEAN GUSTAFSON D.D.S.
NPI 1205148145
Dentist in Polson, MT

Active since July 08, 2010PECOS Enrolled

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Aimee Jean Gustafson D.d.s. NPPES

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

DR. AIMEE JEAN GUSTAFSON D.D.S. (NPI 1205148145) is an individual dentist in Polson, Montana, licensed in Montana (DEN-DEN-LIC-2485) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Polson.

NPPES Registry Identity

NPI1205148145
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. AIMEE JEAN GUSTAFSONCredential: D.D.S.
Location Address5 4TH AVE EPolson, MT 59860-2117
Mailing AddressPo Box 880Saint Ignatius, MT 59865-0880 · (406) 745-3525
Phone(406) 745-3525
Sole ProprietorNo
Enumeration DateJuly 8, 2010
Last NPPES UpdateMarch 15, 2024
NPPES CertifiedMarch 15, 2024
✔ NPI 1205148145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in MT · DEN-DEN-LIC-2485✔ Licensed in MN · D12841
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.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 2485 (MT)
5 4TH AVE E, Polson, MT 59860
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Other Names 1

Former Name (1)Aimee Jean Carr

Secondary Practice Location 1

Location 1102 1st Ave EPolson, MT 59860-2335 · Phone (406) 745-3524

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

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. Aimee Jean 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 59860 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
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$70.82 typical visit price
range $18.24 – $140.32
Typical copayment $17.70 (range $4.56 – $35.08)
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 20

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

JAIME LAWRENCE
Licensed Practical Nurse
5 4TH AVE E
POLSON, MT 59860
Lake County (406) 745-3525
MRS. MILISSA RENEE GRANDCHAMP NP
Nurse Practitioner (Family)
5 4TH AVE E
POLSON, MT 59860
Lake County (406) 745-3525
DACIA LEE ANTISTE-FISHER LCSW
Social Worker (Clinical)
5 4TH AVE E
POLSON, MT 59860
Lake County (406) 745-3525
DR. STEPHANIE TAYLOR MCDONALD PHARMD
Pharmacist
5 4TH AVE E
POLSON, MT 59860
Lake County (406) 883-5482
DR. DAVID J. SIEVERT D.D.S.
Dentist
5 4TH AVE E
POLSON, MT 59860
Lake County (406) 883-5541
DR. SANDRA FISHER PHARM. D.
Pharmacist
5 4TH AVE E
POLSON, MT 59860
Lake County (406) 883-5482
BOBBI JO BLACKWEASEL R.N
Registered Nurse
5 4TH AVE E
POLSON, MT 59860
Lake County (406) 745-3525
AALIYAH CUNNINGHAM RN
Registered Nurse
5 4TH AVE E
POLSON, MT 59860
Lake County (406) 745-3525

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 Aimee Gustafson's NPI number?

The NPI number for Aimee Gustafson is 1205148145. It was assigned to this individual provider in the NPPES registry on July 8, 2010. The provider is also known as Aimee Jean Carr.

Where is Aimee Gustafson located?

Aimee Gustafson practices at 5 4th Ave E, Polson, MT 59860. The listed phone number is (406) 745-3525.

What is Aimee Gustafson's specialty?

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

Is Aimee Gustafson enrolled in Medicare?

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

What insurance does Aimee Gustafson accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental and 5 other insurers list Aimee Gustafson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Aimee Gustafson was last updated on March 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.