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Derek L Gustafson, DDS
General Practice Dentistry in New Brighton, Minnesota
NPI 1356326029

Derek L Gustafson is a General Practice Dentistry based in New Brighton, MN and is specialized in General Practice. Derek L Gustafson practices in New Brighton, MN and has the professional credentials of DDS. The NPI Number for Derek L Gustafson is 1356326029 and holds a License No. DD2591 (Minnesota).

The current practice location address for Derek L Gustafson is 2467 15Th St Nw, New Brighton, MN and can be reached out via phone at 651-633-4883 and via fax at 651-633-4998.

Location: 2467 15Th St Nw, New Brighton, MN, 55112-5596
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356326029
Provider Name
Derek L Gustafson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2467 15Th St Nw, New Brighton, MN, 55112-5596
Phone Number
651-633-4883
Fax Number
651-633-4998
Provider Enumeration Date
12/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DD2591 01 DENTAL LICENSE
12387 01 MN LICENSE
institution
Provider Business Practice Location Address Details
Address
2467 15Th St Nw
City
New Brighton
State
Minnesota
Zip
55112-5596
Phone Number
651-633-4883
Fax Number
651-633-4998
person
Provider Business Mailing Address Details
Address
2467 15Th St Nw
City
New Brighton
State
Minnesota
Zip
55112-5596
Phone Number
651-633-4883
Fax Number
651-633-4998
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
12387 (Minnesota)
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.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DD2591 (New Mexico)
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.
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