Individual provider · Type 1 NPI

Derek L. Gustafson, DDS

General Practice Dentistry · New Brighton, MN

NPI number 1356326029 Active

Practice location

2467 15th St NW, Suite A
New Brighton, MN 55112-5596

Call (651) 633-4883 Map

Fax (651) 633-4998

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XDD2591 (NM)
General Practice Dentistry Primary 1223G0001X12387 (MN)

General Practice Dentistry: 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.

3 other providers at this address

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About NPI 1356326029

Derek L. Gustafson, DDS's National Provider Identifier is 1356326029, issued on Dec 14, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in New Brighton, MN. The record was last updated on Jul 23, 2008.