Jared John Gustafson, D.D.S

Dentist · Arlington, MN

Individual Active NPI

NPI number 1073806303

Practice location

106 3rd Ave NW
Arlington, MN 55307-2099
Phone
(507) 964-2705
Fax
(507) 964-5848

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NPI record

NPI
1073806303
Entity type
Individual (Type 1)
Enumeration date
May 19, 2011
Last updated
May 19, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 12927 MN

Mailing address

106 3rd Ave NW
PO Box 352
Arlington, MN 55307-2099
Phone
(507) 964-2705
Fax
(507) 964-5848

About Dr. Gustafson

Jared John Gustafson, D.D.S is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 106 3rd Ave NW, Arlington, MN 55307-2099. The NPI number 1073806303 was assigned on May 19, 2011 and the record was last updated on May 19, 2011.

Dr. Gustafson lists a license in the registry: #12927 (MN) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jared John Gustafson, D.D.S?

The NPI number is 1073806303.

What is the phone number of Dr. Gustafson?

The phone number listed for the practice location is (507) 964-2705.

Where is Dr. Gustafson located?

106 3rd Ave NW, Arlington, MN 55307-2099.

What is the taxonomy code for Dr. Gustafson?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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