DR. Michael Robert Cusack, D.M.D

NPI #1376730200 in Durango, Colorado

Provider Information

NPI Number: 1376730200
Entity Type: Individual
Name: DR. Michael Robert Cusack, D.M.D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.M.D
Enumeration Date: Sep 25, 2007
Last Updated: Apr 15, 2025

Practice Location

Address: 2323 W 2ND AVE STE B
City: Durango
State: Colorado
ZIP Code: 81301-4646
Phone: (970) 274-0074

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Dentist - General Practice — General Practice	1223G0001X

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