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Contact Information

DR. JOHN D. GUSTAFSON, D.D.S., PA
106 THIRD AVENUE NW
ARLINGTON, MN55307
 Phone: 507-964-2705
 Fax: 507-964-5848
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for DR. JOHN D. GUSTAFSON, D.D.S., PA

NPI Number 1760737647
LBN Legal business name DR. JOHN D. GUSTAFSON, D.D.S., PA
Authorized official JOHN GUSTAFSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/17/2012
Last updated 07/17/2012 - About 14 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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