Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kerri Sue Gustafson, DDS

Individual provider Pediatric Dentistry · NPI 1316910763

Dr. Kerri Sue Gustafson, DDS is a Pediatric Dentistry in Roseville, Michigan. Practices as a sole proprietor. Licensed in Michigan and Oregon.

Licensed in
MI, OR
In the registry since
2006
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

18245 E 10 Mile Rd Ste 110
Roseville, MI 48066-5807
Phone: (586) 585-2402
Fax: (586) 445-1473
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 2901018319 (MI)
Pediatric Dentistry Taxonomy 1223P0221X · Licence D11710 (OR)

Record details

NPI number1316910763
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedFebruary 8, 2006
Last updated in NPPESOctober 3, 2022
Certification dateOctober 3, 2022

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