DR. PATRICK MICHEAL CUSACK DMD,MSD
NPI 1073733275
Dentist - Orthodontics and Dentofacial Orthopedics in Peoria, IL

Active since April 27, 2007
1324 W. NORTHMOOR RD., PEORIA, IL 61614(309) 693-3200(309) 693-2499 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Patrick Micheal Cusack Dmd,msd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PATRICK MICHEAL CUSACK DMD,MSD (NPI 1073733275) is an individual orthodontics and dentofacial orthopedics provider in Peoria, Illinois and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1073733275
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. PATRICK MICHEAL CUSACKCredential: DMD,MSD
Location Address1324 W. NORTHMOOR RD.Peoria, IL 61614
Mailing Address1324 W Northmoor RdPeoria, IL 61614-3470 · (309) 693-3200 · Fax (309) 693-2499
Fax(309) 693-2499
Sole ProprietorYes
Enumeration DateApril 27, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1073733275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
1324 W. NORTHMOOR RD., Peoria, IL 61614

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patrick Cusack's NPI number?

The NPI number for Patrick Cusack is 1073733275. It was assigned to this individual provider in the NPPES registry on April 27, 2007.

Where is Patrick Cusack located?

Patrick Cusack practices at 1324 W. Northmoor Rd., Peoria, IL 61614. The listed phone number is (309) 693-3200.

What is Patrick Cusack's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Patrick Cusack was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.