Derek L Gustafson, D.D.S., P.A.
NPI 1902061666ActiveOrganization· Dentist, General Practice· Bigfork, MN
Dentist, General Practice in Bigfork, Minnesota, registered in NPPES in July 2008. The authorized official on file is Derek Lynn Gustafson, D.D.S., President.
Overview
| NPI | 1902061666 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 22, 2008 |
| Last updated in NPPES | Sep 15, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | D12387 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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