Individual provider · Type 1 NPI
Kerri Sue Gustafson, DDS
Pediatric Dentistry · Roseville, MI
NPI number
1316910763
Active
Practice location
18245 E 10 Mile Rd, Suite 110
Roseville, MI 48066-5807
Fax (586) 445-1473
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry | 1223P0221X | D11710 (OR) |
| Pediatric Dentistry Primary | 1223P0221X | 2901018319 (MI) |
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.
6 other providers at this address
- CubeCommunity/Behavioral Health Agency Roseville, MI NPI 1609216829
- Dudley Roberts M.d, L.l.c.Internal Medicine Physician Roseville, MI NPI 1356377501
- Dudley Roberts Iii, MDInternal Medicine Physician Roseville, MI NPI 1922094507
- Jeffrey Maurice Hall, MDSurgery of the Hand (Surgery) Physician Roseville, MI NPI 1609868496
- Mazin Mohi Deen, MDInternal Medicine Physician Roseville, MI NPI 1740625508
- Mitchell Brian Schram, OTRLOccupational Therapist Roseville, MI NPI 1215402078
About NPI 1316910763
Kerri Sue Gustafson, DDS's National Provider Identifier is 1316910763, issued on Feb 8, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Roseville, MI. The record was last updated on Oct 3, 2022.