Kerri Sue Gustafson in Roseville - Pediatric Dentistry
Kerri Sue Gustafson - NPI 1316910763
Kerri Sue Gustafson is a Pediatric Dentistry in Roseville, Michigan. Kerri Sue Gustafson practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Kerri Sue Gustafson is 1316910763. The last update date is 2022-10-03.
Kerri Sue Gustafson's current location address is 18245 E 10 Mile Rd, Roseville, Michigan. You can contact this provider via phone number 5865852402 and fax number 5864451473. The mailing address for Kerri Sue Gustafson is 18245 E 10 Mile Rd, Roseville, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kerri Sue Gustafson |
|---|---|
| Address | 18245 E 10 Mile Rd, Roseville, Michigan |
| Phone Number | 5865852402 |
| Fax Number | 5864451473 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1316910763 |
|---|---|
| Provider Enumeration Date | 2006-02-08 |
| Last Updated Date | 2022-10-03 |
Provider Mailing Address Detail
| Address | 18245 E 10 Mile Rd |
|---|---|
| City | Roseville |
| State | Michigan (MI) |
| Post Code | 480665807 |
| Phone Number | 5865852402 |
| Fax Number | 5864451473 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | D11710 |
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Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kerri Sue Gustafson by the Centers for Medicare & Medicaid Services?
The Kerri Sue Gustafson has been issued the NPI (National Provider Identifier) 1316910763 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Kerri Sue Gustafson is physically located?
The Kerri Sue Gustafson is physically situated at the following address: 18245 E 10 Mile Rd, Roseville, MI, 480665807.
What is the Kerri Sue Gustafson's specialty and taxonomy code?
The Kerri Sue Gustafson's specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.
On what date did Kerri Sue Gustafson receive its 1316910763 assignment from the Centers for Medicare & Medicaid Services?
The Kerri Sue Gustafson was assigned its 1316910763 on 2006-02-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Kerri Sue Gustafson most recently updated or revised?
The details related to Kerri Sue Gustafson, including its address, specialty, and other relevant information, were last updated or revised on 2022-10-03.
NPI Number: 1376546309
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