NPI 1205148145

Aimee Jean Gustafson, DDS

Practitioner Dentist Polson, MT

Practice location

Address: 5 4th Ave E, Polson, MT 59860-2117
Phone: (406) 745-3525
Mailing address: PO Box 880, Saint Ignatius, MT 59865-0880

Registered specialties (3)

Dentist Primary

Dental Providers Taxonomy 122300000X Licence DEN-DEN-LIC-2485 (MT)

Other Dentist providers in Montana →

General Practice Dentistry

Dental Providers Taxonomy 1223G0001X Licence 2485 (MT)

Dentist

Dental Providers Taxonomy 122300000X Licence D12841 (MN)

Registry record

NPI: 1205148145
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Jul 2010
Record last updated: 15 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.