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Michael J. Cusatis Dds Pllc
Oral and Maxillofacial Surgery (Dentist) in Gaylord, Michigan
NPI 1518118454

Michael J. Cusatis Dds Pllc is a Oral and Maxillofacial Surgery (Dentist) based in Gaylord, MI and is specialized in Oral and Maxillofacial Surgery. Michael J. Cusatis Dds Pllc practices in Gaylord, MI. The NPI Number for Michael J. Cusatis Dds Pllc is 1518118454 and holds a License No. D14500 (Michigan).

The current practice location address for Michael J. Cusatis Dds Pllc is 1507 S Otsego Ave Ste B, Gaylord, MI and can be reached out via phone at 989-732-4189 and via fax at 989-732-1916.

Location: 1507 S Otsego Ave Ste B, Gaylord, MI, 49735-9524
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518118454
Provider Name
Michael J. Cusatis Dds Pllc
Credential
Provider Entity Type
Organization
Address
1507 S Otsego Ave Ste B, Gaylord, MI, 49735-9524
Phone Number
989-732-4189
Fax Number
989-732-1916
Provider Enumeration Date
10/09/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5190276 05 MI
institution
Provider Business Practice Location Address Details
Address
1507 S Otsego Ave Ste B
City
Gaylord
State
Michigan
Zip
49735-9524
Phone Number
989-732-4189
Fax Number
989-732-1916
person
Provider Business Mailing Address Details
Address
1507 S Otsego Ave Ste B
City
Gaylord
State
Michigan
Zip
49735-9524
Phone Number
989-732-4189
Fax Number
989-732-1916
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
D14500 (Michigan)
Definition
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.
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