Individual provider · Type 1 NPI
Michael Joseph Cusatis, DDS
Oral and Maxillofacial Surgery (Dentist) · Gaylord, MI
NPI number
1700805652
Active
Practice location
1507 S. Otsego, Suite B
Gaylord, MI 49735
Fax (989) 732-1916
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | D14500 (MI) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
About NPI 1700805652
Michael Joseph Cusatis, DDS's National Provider Identifier is 1700805652, issued on Jul 19, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Gaylord, MI. The record was last updated on Nov 4, 2008.