DEREK L GUSTAFSON, D.D.S., P.A.
NPI 1902061666
Dentist - General Practice in Bigfork, MN

Q: What is Derek L Gustafson, D.D.S., P.A.'s NPI number?

The NPI number for Derek L Gustafson, D.D.S., P.A. is 1902061666. It was assigned to this organization in the NPPES registry on July 22, 2008.

Q: What is Derek L Gustafson, D.D.S., P.A.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since July 22, 2008

100 PINE TREE DR., BIGFORK, MN 56628(218) 743-3707 Get Directions Write a Review

NPPES record last updated: September 15, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Derek L Gustafson, D.d.s., P.a. NPPES

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

DEREK L GUSTAFSON, D.D.S., P.A. (NPI 1902061666) is a healthcare organization registered as a general practice in Bigfork, Minnesota and active in the NPI registry since July 2008. The organization lists Derek Lynn Gustafson, President, as its authorized official.

NPPES Registry Identity

NPI1902061666

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameDEREK L GUSTAFSON, D.D.S., P.A.

Location Address100 PINE TREE DR.Bigfork, MN 56628-5596

Mailing Address100 Pine Tree Dr., Po Box 14Bigfork, MN 56628-5596 · (218) 743-3707

Phone(218) 743-3707

Organization SubpartNo

Authorized OfficialDerek Lynn GustafsonPresident · (218) 743-3707

Enumeration DateJuly 22, 2008

Last NPPES UpdateSeptember 15, 2009

✔ NPI 1902061666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MN · D12387

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.

100 PINE TREE DR., Bigfork, MN 56628

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Derek L Gustafson, D.D.S., P.A.'s NPI number?

The NPI number for Derek L Gustafson, D.D.S., P.A. is 1902061666. It was assigned to this organization in the NPPES registry on July 22, 2008.

Where is Derek L Gustafson, D.D.S., P.A. located?

Derek L Gustafson, D.D.S., P.A. is located at 100 Pine Tree Dr., Bigfork, MN 56628. The listed phone number is (218) 743-3707.

What is Derek L Gustafson, D.D.S., P.A.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Derek L Gustafson, D.D.S., P.A. was last updated on September 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.