| Dr Kerri Sue Gustafson, DDS | |
|
18245 E 10 Mile Rd, Suite 110, Roseville, MI 48066-5807 | |
| (586) 585-2402 | |
| (586) 445-1473 |
| Full Name | Dr Kerri Sue Gustafson |
|---|---|
| Gender | Female |
| Speciality | Dentist - Pediatric Dentistry |
| Location | 18245 E 10 Mile Rd, Roseville, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316910763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | D11710 (Oregon) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | 2901018319 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kerri Sue Gustafson, DDS 18245 E 10 Mile Rd, Suite 110, Roseville, MI 48066-5807 Ph: (586) 585-2402 | Dr Kerri Sue Gustafson, DDS 18245 E 10 Mile Rd, Suite 110, Roseville, MI 48066-5807 Ph: (586) 585-2402 |
Dr. Arthur Mark Harris, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 27115 Gratiot Ave, Roseville, MI 48066 Phone: 586-771-5880 Fax: 586-771-5882 | |
Dr. Sekna Tarek Dabaja, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 25631 Gratiot Ave, Roseville, MI 48066 Phone: 586-775-3312 | |
Dr. Ivan L Green, Dentist Medicare: Not Enrolled in Medicare Practice Location: 19551 E 10 Mile Rd, Roseville, MI 48066 Phone: 586-775-6770 | |
Dr. Rita Fandakly, Dentist Medicare: Medicare Enrolled Practice Location: 20737 E 13 Mile Rd, Roseville, MI 48066 Phone: 586-294-7810 | |
Dr. James Emmanuel Tangalos, DMD Dentist Medicare: Medicare Enrolled Practice Location: 21055 E 12 Mile Rd, Roseville, MI 48066 Phone: 586-789-9528 | |
Dr. Karen Marie Rutherford, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 19353 E 13 Mile Rd, Roseville, MI 48066 Phone: 586-293-3070 Fax: 586-293-3071 | |
Edward Fitzpatrick, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 18303 E 10 Mile Rd, Suite 150, Roseville, MI 48066 Phone: 586-773-2000 Fax: 586-773-0408 |