Organization · Type 2 NPI

Kerri S. Gustafson, Dds, Pllc, Dentistry for Children

Pediatric Dentistry · Roseville, MI

NPI number 1295347805 Active

Practice location

18245 E 10 Mile Rd Ste 110
Roseville, MI 48066-5807

Mailing address

830 Cadieux Rd
Grosse Pointe, MI 48230-1232

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XNone listed

Pediatric Dentistry: 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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About NPI 1295347805

Kerri S. Gustafson, Dds, Pllc, Dentistry for Children's National Provider Identifier is 1295347805, issued on Aug 17, 2020. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Roseville, MI. The record was last updated on Aug 17, 2020.