DR. KERRI SUE GUSTAFSON


Address: 18245 E 10 Mile Rd, Suite 110, Roseville, MI 48066-5807
Phone: 5865852402

DR. KERRI SUE GUSTAFSON (NPI# 1316910763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316910763
Entity Type Individual
Full Name DR. KERRI SUE GUSTAFSON
Credential DDS
Practice Address 18245 E 10 Mile Rd
Suite 110
Roseville
MI 48066-5807
Practice Telephone 5865852402
Practice Fax Number 5864451473
Mailing Telephone (586) 585-2402
Mailing Fax Number 5864451473
Enumeration Date 2006-02-08
Last Update Date 2017-07-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
2901018319 MI Dental Providers

Office Location

Street Address 18245 E 10 MILE RD
SUITE 110
City ROSEVILLE
State MI
Zip Code 48066-5807

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609868496 Jeffrey Maurice Hall Surgery 18245 E 10 Mile Rd, Suite 130, Roseville, MI 48066-5807 2005-08-17
1215402078 Mitchell Brian Schram Occupational Therapist 18245 E 10 Mile Rd, Roseville, MI 48066-5807 2018-10-09
1609216829 Cube Community/Behavioral Health 18245 E 10 Mile Rd, Suite 140, Roseville, MI 48066-5807 2013-07-02
1740625508 Mazin Mohi Deen Internal Medicine 18245 E 10 Mile Rd, Suite 120, Roseville, MI 48066-5807 2013-05-07
1356377501 Dudley Roberts M.d, L.L.C. Internal Medicine 18245 E 10 Mile Rd, Suite 120, Roseville, MI 48066-5807 2006-06-22
1922094507 Dudley Roberts IIi Internal Medicine 18245 E 10 Mile Rd, Roseville, MI 48066-5807 2005-09-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437761400 Louay Mansour Dds PC Dentist 27845 Gratiot Avenue, Roseville, MI 48066 2020-08-20
1558911842 Jomy Jose Nurse Practitioner 25719 Salem St, Roseville, MI 48066 2019-09-18
1053963033 Convenient Rv PC Dentist 19551 E. 10 Mile Rd, Roseville, MI 48066 2019-07-10
1063914539 Colleen Meriweather Registered Nurse 27300 Spruce, Rosevilel, MI 48066 2018-03-01
1326565789 Renee Suzette Hoelzeman Nurse Practitioner 18472 Meier St, Roseville, MI 48066 2017-08-27
1225561400 Eugenia Dillard Counselor 28351 Gratiot Ave., Suite 3, Roseville, MI 48066 2017-04-05
1932651338 Julie Plichota Physical Therapist 31120 Gratiot Ave, Roseville, MI 48066 2016-11-01
1699221325 Jaquenta Glasker Technician, Other 26778 Rosewood, Roseville, MI 48066 2016-09-01
1609296144 Peter Jajou Dermatology 18285 E 10 Mile Rd Ste 130, Roseville, MI 48066 2014-04-23
1619393899 Katherine Michelle Johnson Obstetrics & Gynecology 29751 Little Mack Ave Ste B, Roseville, MI 48066 2014-03-11
Find all providers in zip 48066

Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy 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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447884069 Jocelyn M. Robelli Dds, Ms, Pllc Dentist 18245 E 10 Mile Rd Ste 110, Roseville, MI 48066-5807 2020-02-24
1205113859 Richard Knight Dentist 2520 Douglas Blvd Ste 130, Roseville, CA 95661-3993 2011-11-10
1982890331 Jack Lowell Moore Dentist 700 Sunrise Avenue, Suite C, Roseville, CA 95661-4561 2007-09-19
1780750539 Dental Specialists of Minnesota, Pllc Dentist 1835 County Road C-west, Suite 200, Roseville, MN 55113-1343 2006-11-24
1366448524 Linda Patricia Rafferty Dentist 2520 Douglas Blvd, Ste 130, Roseville, CA 95661-3993 2005-06-22
1295347805 Kerri S. Gustafson, Dds, Pllc, Dentistry for Children Dentist 18245 E 10 Mile Rd Ste 110, Roseville, MI 48066-5807 2020-08-17
1033639463 Crutchfield Pediatric Dental Group Dentist 1253 Pleasant Grove Blvd Ste 190, Roseville, CA 95678-6983 2017-06-27
1336696426 Dmitriy Pivnik Dds Inc Dentist 721 Pleasant Grove Blvd Ste 150, Roseville, CA 95678-6181 2016-09-06
1275991721 Dmitriy Pivnik Dentist 721 Pleasant Grove Blvd Ste 150, Roseville, CA 95678-6181 2016-01-29
1760710834 Cassandra Krupansky Dentist 2520 Douglas Blvd, Suite 130, Roseville, CA 95661-3992 2009-11-30
Find all providers in ROSEVILLE

Competitor

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City ROSEVILLE
Zip Code 48066

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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