| Oral Surgery Specialists Of Northern Mi | |
|
1507 S Otsego Ave Ste B Gaylord MI 49735-9524 | |
| (989) 732-4189 | |
| (989) 732-1916 |
| Full Name | Oral Surgery Specialists Of Northern Mi |
|---|---|
| Speciality | Dentist |
| Location | 1507 S Otsego Ave Ste B, Gaylord, Michigan |
| Authorized Official Name and Position | Michael J. Cusatis (OWNER) |
| Authorized Official Contact | 9897324189 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Surgery Specialists Of Northern Mi 1507 S Otsego Ave Ste B Gaylord MI 49735-9524 Ph: (989) 732-4189 | Oral Surgery Specialists Of Northern Mi 1507 S Otsego Ave Ste B Gaylord MI 49735-9524 Ph: (989) 732-4189 |
| NPI Number | 1518118454 |
|---|---|
| Provider Enumeration Date | 10/09/2008 |
| Last Update Date | 11/04/2008 |
| Medicare PECOS PAC ID | 1254491020 |
|---|---|
| Medicare Enrollment ID | O20081124000542 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518118454 | NPI | - | NPPES |
| 5190276 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | D14500 (Michigan) | Primary |
| Provider Name | Michael J Cusatis |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1700805652 PECOS PAC ID: 1456411776 Enrollment ID: I20081117000556 |
Dental Smiles Of Livonia, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: Otsego Dental Group, 785 M-32, Gaylord, MI 48735 Phone: 989-448-2664 | |
Beacon Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1723 W M 32, Building B, Gaylord, MI 49735 Phone: 989-448-2802 Fax: 231-547-5077 | |
Main Oak Family Dentistry Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 219 E Main St, Gaylord, MI 49735 Phone: 989-732-6271 | |
Gaylord Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1507 S Otsego Ave Ste A, Gaylord, MI 49735 Phone: 989-732-4199 Fax: 989-731-6762 | |
Forsyth Family Dentistry, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1723 W M 32 Bldg A, Gaylord, MI 49735 Phone: 989-705-7000 Fax: 989-705-8203 | |
Daniel P. Moylan D.d.s. Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 877 E M 32, Gaylord, MI 49735 Phone: 989-732-1213 Fax: 989-731-0321 |