Marcus Michael Gustafson, DDS
Dentist · Lakeland, MN
Practice location
16678 7TH St SLakeland, MN 55043-9531
- Phone
- (612) 867-6177
NPI record
- NPI
- 1164489654
- Entity type
- Individual (Type 1)
- Enumeration date
- April 27, 2006
- Last updated
- October 23, 2015
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
D8384 | MN |
About Dr. Gustafson
Marcus Michael Gustafson, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 16678 7TH St S, Lakeland, MN 55043-9531. The NPI number 1164489654 was assigned on April 27, 2006 and the record was last updated on October 23, 2015.
Dr. Gustafson lists a license in the registry: #D8384 (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 Marcus Michael Gustafson, DDS?
The NPI number is 1164489654.
What is the phone number of Dr. Gustafson?
The phone number listed for the practice location is (612) 867-6177.
Where is Dr. Gustafson located?
16678 7TH St S, Lakeland, MN 55043-9531.
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.
Other Dentist providers in Lakeland
- Oluwadamilola Omodele Ajagbe, DDS44 Saint Croix Trl S Ste 100
- John Edward Sweeney, DDS44 South St Croix Trail