Organization · Type 2 NPI
William E. Cusack, D.d.s., Ltd.
Periodontics · Peoria, IL
NPI number
1346060217
Active
Practice location
5013 N University St Ste 2
Peoria, IL 61614-4796
Fax (309) 693-2272
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | None listed |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
About NPI 1346060217
William E. Cusack, D.d.s., Ltd.'s National Provider Identifier is 1346060217, issued on Oct 15, 2024. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Peoria, IL. The record was last updated on Oct 15, 2024.