Individual provider · Type 1 NPI

Michael Robert Cusack, D.M.D

General Practice Dentistry · Durango, CO

NPI number 1376730200 Active

Practice location

2323 W 2nd Ave Ste B
Durango, CO 81301-4646

Fax (309) 699-7050

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XDEN.00204574 (CO)
General Practice Dentistry 1223G0001XDD3375 (NM)
General Practice Dentistry Primary 1223G0001X019-027507 (IL)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1376730200

Michael Robert Cusack, D.M.D's National Provider Identifier is 1376730200, issued on Sep 25, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Durango, CO. The record was last updated on Apr 15, 2025.