Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KERRI SUE GUSTAFSON, DDS
Active Sole ProprietorDR. KERRI SUE GUSTAFSON, DDS is a Pediatric Dentistry healthcare provider located in ROSEVILLE, Michigan. NPI 1316910763 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · ROSEVILLE, MI
Registration Details
- NPI Number
- 1316910763
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 8, 2006 (20.540633423463 yrs)
- Last Updated
- Oct 3, 2022
- Licenses
-
D11710 (OR)2901018319 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
18245 E 10 MILE RDSUITE 110ROSEVILLE, MI, 480665807Browse MI providers · Browse ZIP 48066
- Phone
- 5865852402
- Fax
- 5864451473
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.