1356326029 Derek L Gustafson, DDS
General Practice Dentistry
Active
Basic Information
- Full Name
- Derek L Gustafson, DDS
- Gender
- Male
- Enumeration Date
- December 14, 2005
- Last Update
- July 23, 2008
Practice Location
- Address
- 2467 15TH ST NW
SUITE A
NEW BRIGHTON, MN 551125596 - Phone
- (651) 633-4883
- Fax
- (651) 633-4998
Mailing Address
- Address
- 2467 15TH ST NW
SUITE A
NEW BRIGHTON, MN 551125596 - Phone
- (651) 633-4883
- Fax
- (651) 633-4998
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Dentist | 122300000X | Dentist | DD2591 | NM | No |
| General Practice Dentistry General Practice | 1223G0001X | Dentist | 12387 | MN | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DD2591 | 01 | N/A | DENTAL LICENSE |
| 12387 | 01 | MN | LICENSE |
Frequently Asked Questions
What is Derek L Gustafson, DDS's NPI number?
Derek L Gustafson, DDS's NPI number is 1356326029.
Which doctor has NPI number 1356326029?
The doctor with NPI number 1356326029 is Derek L Gustafson, DDS.
What is Derek L Gustafson, DDS's practice address?
Derek L Gustafson, DDS's practice address is 2467 15TH ST NW, SUITE A, NEW BRIGHTON, MN, 551125596.
Which doctor practices at 2467 15TH ST NW, SUITE A, NEW BRIGHTON, MN, 551125596?
Derek L Gustafson, DDS practices at 2467 15TH ST NW, SUITE A, NEW BRIGHTON, MN, 551125596.
What is Derek L Gustafson, DDS's phone number?
Derek L Gustafson, DDS's phone number is (651) 633-4883.
Who is (651) 633-4883?
(651) 633-4883 is the phone number for Derek L Gustafson, DDS.
What is Derek L Gustafson, DDS's specialty?
Derek L Gustafson, DDS's specialty is General Practice Dentistry.
What type of doctor is Derek L Gustafson, DDS?
Derek L Gustafson, DDS is a General Practice Dentistry.
Is Derek L Gustafson, DDS a General Practice?
Yes, Derek L Gustafson, DDS is a General Practice.
Is Derek L Gustafson, DDS still practicing?
Yes, Derek L Gustafson, DDS is currently practicing.
Is Derek L Gustafson, DDS accepting new patients?
Derek L Gustafson, DDS may be accepting new patients. Please call their office at (651) 633-4883 to inquire about availability.
Is NPI 1356326029 still active?
Yes, NPI 1356326029 is currently active.
Where does Derek L Gustafson, DDS practice?
Derek L Gustafson, DDS practices in NEW BRIGHTON, MN.
Is Derek L Gustafson, DDS a male or female doctor?
Derek L Gustafson, DDS is a male doctor.