Individual provider · Type 1 NPI

Gary Louis Gusmerotti

General Practice Dentistry · Lac Du Flambeau, WI

NPI number 1477611432 Active

Practice location

128 Old Abe Rd
Lac Du Flambeau, WI 54538-0128

Mailing address

PO Box 128, 128 Old Abe Road
Lac Du Flambeau, WI 54538-0128

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001XDS022509L (PA)
General Practice Dentistry Primary 1223G0001X5591 (WI)

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 1477611432

Gary Louis Gusmerotti's National Provider Identifier is 1477611432, issued on Dec 4, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Lac Du Flambeau, WI. The record was last updated on Jan 28, 2014.