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Michael Joseph Cusatis, DDS
Oral and Maxillofacial Surgery (Dentist) in Gaylord, Michigan
NPI 1700805652

Michael Joseph Cusatis is a Oral and Maxillofacial Surgery (Dentist) based in Gaylord, MI and is specialized in Oral and Maxillofacial Surgery. Michael Joseph Cusatis practices in Gaylord, MI and has the professional credentials of DDS. The NPI Number for Michael Joseph Cusatis is 1700805652 and holds a License No. D14500 (Michigan).

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

Location: 1507 S. Otsego, Gaylord, MI, 49735
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700805652
Provider Name
Michael Joseph Cusatis
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1507 S. Otsego, Gaylord, MI, 49735
Phone Number
989-732-4189
Fax Number
989-732-1916
Provider Enumeration Date
07/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
56910090 01 MI BCBS ID #
5190276 05 MI
institution
Provider Business Practice Location Address Details
Address
1507 S. Otsego
City
Gaylord
State
Michigan
Zip
49735
Phone Number
989-732-4189
Fax Number
989-732-1916
person
Provider Business Mailing Address Details
Address
1507 S. Otsego
City
Gaylord
State
Michigan
Zip
49735
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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