institution
Kerri S. Gustafson, Dds, Pllc, Dentistry For Children
Pediatric Dentist in Roseville, Michigan
NPI 1295347805

Kerri S. Gustafson, Dds, Pllc, Dentistry For Children is a Pediatric Dentist based in Grosse Pointe, MI and is specialized in Pediatric Dentistry. Kerri S. Gustafson, Dds, Pllc, Dentistry For Children practices in Roseville, MI. The NPI Number for Kerri S. Gustafson, Dds, Pllc, Dentistry For Children is 1295347805 and holds a License No. (Michigan).

The current practice location address for Kerri S. Gustafson, Dds, Pllc, Dentistry For Children is 18245 E 10 Mile Rd Ste 110, Roseville, MI and can be reached out via phone at 586-585-2402.

Location: 18245 E 10 Mile Rd Ste 110, Roseville, MI, 48230-1232
institution
Provider Profile Details
NPI Number
1295347805
Provider Name
Kerri S. Gustafson, Dds, Pllc, Dentistry For Children
Credential
Provider Entity Type
Organization
Address
18245 E 10 Mile Rd Ste 110, Roseville, MI, 48230-1232
Phone Number
586-585-2402
Fax Number
Provider Enumeration Date
08/17/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1316910763 01 NPI TYPE 1
institution
Provider Business Practice Location Address Details
Address
18245 E 10 Mile Rd Ste 110
City
State
Zip
48066-5807
Phone Number
586-585-2402
Fax Number
person
Provider Business Mailing Address Details
Address
18245 E 10 Mile Rd Ste 110
City
State
Zip
48066-5807
Phone Number
586-585-2402
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
()
Definition
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.
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