DR. AIMEE JEAN GUSTAFSON (NPI# 1205148145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205148145 |
| Entity Type | Individual |
| Full Name | DR. AIMEE JEAN GUSTAFSON |
| Other Name | AIMEE JEAN CARR |
| Credential | D.D.S. |
| Practice Address |
102 1st Ave E Polson MT 59860-2335 |
| Mailing Address |
308 Mission Dr St Ignatius MT 59865-9676 |
| Practice Telephone | 4067453524 |
| Mailing Telephone | 4067453525 |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2015-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | D12841 | MN | Dental Providers |
| Y | 122300000X | Dentist | 2485 | MT | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
2485 | MT | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 7097623 | 05 |
| Street Address |
102 1ST AVE E |
| City | POLSON |
| State | MT |
| Zip Code | 59860-2335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720084064 | James B Willis | Dentist | 102 1st Ave E, Polson, MT 59860-2335 | 2005-06-22 |
| 1144623992 | Big Sky Dental Clinic | Dentist | 102 1st Ave E, Polson, MT 59860-2335 | 2014-10-07 |
| 1073745386 | Jason T Heintz | Dentist | 102 1st Ave E, Polson, MT 59860-2335 | 2009-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679095020 | Ashley J Gilham | Registered Nurse | #5 4th Ave E., Polson, MT 59860 | 2017-07-07 |
| 1225585532 | St. Luke Community Hospital | Clinic/Center | 107 Ridgewater Dr., Polson, MT 59860 | 2016-09-02 |
| 1306202163 | Western Montana Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 7 13th Ave East, Polson, MT 59860 | 2016-01-11 |
| 1154730364 | Wanda L King | Dietitian, Registered | 6 Thirteenth Avenue East, Poslon, MT 59860 | 2014-08-13 |
| 1104255637 | Dacia Lee Antiste-fisher | Counselor | #5 4th Ave. E., Polson, MT 59860 | 2013-11-05 |
| 1154758134 | Richard Pierre | Pharmacy Technician | 5 4th Ave E., Polson, MT 59860 | 2013-10-04 |
| 1154755197 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 36318 Memory Lane, Polson, MT 59860 | 2013-08-27 |
| 1245582022 | Catherine D Addison | Registered Nurse | 5 4th Ave. East, Polson, MT 59860 | 2012-10-04 |
| 1114220787 | Erika Ann Weber | Social Worker | #5 4th Ave. E, Polson, MT 59860 | 2010-12-21 |
| 1942431473 | Lisa L. Scalpane | Counselor | 803 Main Street, Suite C, Polson, MT 59860 | 2009-07-31 |
| Find all providers in zip 59860 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982991329 | Jeffrey Scott Bird | Dentist | 203b Ridgewater Dr Ste 1, Polson, MT 59860-9194 | 2011-07-06 |
| 1003300989 | Timothy Chapman Johnson | Dentist | 203 Main St, Polson, MT 59860-2119 | 2018-06-14 |
| 1841630126 | Scott Stringer | Dentist | 5 4th Ave E, Polson, MT 59860 | 2013-07-01 |
| 1073745386 | Jason T Heintz | Dentist | 102 1st Ave E, Polson, MT 59860-2335 | 2009-08-20 |
| 1255548350 | David J. Sievert | Dentist | 5 4th Ave E, Polson, MT 59860-2117 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162525 | Kagy Family Dental | Dentist | 45 W Kagy Blvd Ste 4, Bozeman, MT 59715-6052 | 2020-10-21 |
| 1821697921 | Jewel Basin Dentistry | Dentist | 33 Doc Kimball, Big Fork, MT 59911 | 2020-10-20 |
| 1912514977 | Kenneth J Bagby Dds P C | Dentist | 1540 Lake Elmo Dr Ste 3, Billings, MT 59105-1798 | 2020-09-24 |
| 1285245852 | Robert Dilan Starkel | Dentist | 402 Montana Ave, Libby, MT 59923-2040 | 2020-08-16 |
| 1003430570 | Allen Dental, Pllc | Dentist | 15 1st St Ne Ste 207151, Choteau, MT 59422-9275 | 2020-06-01 |
| 1346727468 | Shawn Michael Griffith | Dentist | 1 Woodcocks Way, St. Ignatius, MT 59865 | 2018-07-21 |
| 1447745914 | Steve M. Mosby, Dds | Dentist | 310 Wendell Ave Ste 3, Lewistown, MT 59457-2267 | 2018-06-27 |
| 1174052302 | Kelsey Jo Fraser | Dentist | 515 N Broadway Ave Ste 4, Red Lodge, MT 59068 | 2017-06-10 |
| 1538604400 | Tmj & Sleep Therapy Centre of Montana, Inc | Dentist | 880 Primrose Rd N, Conrad, MT 59425-9129 | 2016-12-30 |
| 1285085795 | Gregory Moos | Dentist | 515 Broadway Ave. North, Red Lodge, MT 59068 | 2016-06-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.