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Dr. Kerri Sue Gustafson, DDS
Pediatric Dentist in Roseville, Michigan
NPI 1316910763

Kerri Sue Gustafson is a Pediatric Dentist based in Roseville, MI and is specialized in Pediatric Dentistry. Kerri Sue Gustafson practices in Roseville, MI and has the professional credentials of DDS. The NPI Number for Kerri Sue Gustafson is 1316910763 and holds a License No. D11710 (Michigan).

The current practice location address for Kerri Sue Gustafson is 18245 E 10 Mile Rd, Roseville, MI and can be reached out via phone at 586-585-2402 and via fax at 586-445-1473.

Location: 18245 E 10 Mile Rd, Roseville, MI, 48066-5807
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316910763
Provider Name
Kerri Sue Gustafson
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
18245 E 10 Mile Rd, Roseville, MI, 48066-5807
Phone Number
586-585-2402
Fax Number
586-445-1473
Provider Enumeration Date
02/08/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
18245 E 10 Mile Rd
City
Roseville
State
Michigan
Zip
48066-5807
Phone Number
586-585-2402
Fax Number
586-445-1473
person
Provider Business Mailing Address Details
Address
18245 E 10 Mile Rd
City
Roseville
State
Michigan
Zip
48066-5807
Phone Number
586-585-2402
Fax Number
586-445-1473
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
D11710 (Oregon)
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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