Individual provider · Type 1 NPI

Kelly Ann Cusack, DMD

Student in an Organized Health Care Education/Training Program · Iowa City, IA

NPI number 1255904082 Active

Practice location

801 Newton Rd
Iowa City, IA 52242-1001

Call (319) 335-7440 Map

Fax (319) 335-7451

Mailing address

322 Dental Science Bldg S
Iowa City, IA 52242-1001

Other practice locations

  • 2800 College Ave, Alton, IL 62002-4700 · (309) 370-3920

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XRES-30681 (IA)
Dentist 122300000X019.033249 (IL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

155 other providers at this address

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About NPI 1255904082

Kelly Ann Cusack, DMD's National Provider Identifier is 1255904082, issued on Jul 20, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Iowa City, IA. The record was last updated on May 21, 2024.