OrganizationActive
Derek L Gustafson, D.D.S., P.A.
NPI 1902061666 · General Practice Dentistry · Bigfork, MN
Provider details
- NPI number
- 1902061666
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Derek Gustafson, President(218) 743-3707
- License
- D12387 (MN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
100 Pine Tree Dr.
Bigfork, MN 56628-5596
Phone: (218) 743-3707
Approximate (ZIP-level) locationGet directions
Mailing address
100 Pine Tree Dr.
Bigfork, MN 56628-5596
Registry dates
- Enumerated
- 2008-07-22
- Last updated
- 2009-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.