KERRI S. GUSTAFSON, DDS, PLLC, DENTISTRY FOR CHILDREN
NPI 1295347805
Dentist - Pediatric Dentistry in Roseville, MI

Q: What is Kerri S. Gustafson, Dds, PLLC, Dentistry For Children's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since August 17, 2020

18245 E 10 MILE RD STE 110, ROSEVILLE, MI 48066(586) 585-2402 Get Directions Write a Review

NPPES record last updated: August 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kerri S. Gustafson, Dds, Pllc, Dentistry For Children NPPES

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

KERRI S. GUSTAFSON, DDS, PLLC, DENTISTRY FOR CHILDREN (NPI 1295347805) is a healthcare organization registered as a pediatric dentistry in Roseville, Michigan and active in the NPI registry since August 2020. The organization lists Kerri S Gustafson, Dds, Owner, as its authorized official.

NPPES Registry Identity

NPI1295347805

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameKERRI S. GUSTAFSON, DDS, PLLC, DENTISTRY FOR CHILDREN

Location Address18245 E 10 MILE RD STE 110Roseville, MI 48066-5807

Mailing Address830 Cadieux RdGrosse Pointe, MI 48230-1232 · (303) 917-2215

Phone(586) 585-2402

Organization SubpartYesParent: Kerri S. Gustafson, Dds, Pllc

Authorized OfficialKerri S GustafsonDds, Owner · (303) 917-2215

Enumeration DateAugust 17, 2020

NPPES CertifiedAugust 17, 2020

✔ NPI 1295347805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

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.

18245 E 10 MILE RD STE 110, Roseville, MI 48066

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Other Identifiers 1

Other1316910763Npi Type 1

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOCELYN M. ROBELLI DDS, MS, PLLC

Dentist (Pediatric Dentistry)

18245 E 10 MILE RD STE 110
ROSEVILLE, MI 48066

Macomb County (586) 585-2402

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 Kerri S. Gustafson, Dds, PLLC, Dentistry For Children's NPI number?

The NPI number for Kerri S. Gustafson, Dds, PLLC, Dentistry For Children is 1295347805. It was assigned to this organization in the NPPES registry on August 17, 2020.

Where is Kerri S. Gustafson, Dds, PLLC, Dentistry For Children located?

Kerri S. Gustafson, Dds, PLLC, Dentistry For Children is located at 18245 E 10 Mile Rd Ste 110, Roseville, MI 48066. The listed phone number is (586) 585-2402.

What is Kerri S. Gustafson, Dds, PLLC, Dentistry For Children's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Kerri S. Gustafson, Dds, PLLC, Dentistry For Children was last updated on August 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.