# GUSFA DENTAL CLINIC, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346982147
- **Authorized official:** DR. STEVEN GUSFA DDS (PRESIDENT)
- **Authorized official phone:** (313) 565-5350

## Contact information

- **Practice address:** 22731 NEWMAN ST STE 210, DEARBORN, MI 48124-2023
- **Practice address phone:** (313) 565-5350
- **Practice address fax:** (313) 565-5561
- **Mailing address:** 22731 NEWMAN ST STE 210, DEARBORN, MI 48124-2023
- **Mailing address phone:** (313) 565-5350
- **Mailing address fax:** (313) 565-5561

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |
| 1223G0001X | General Practice Dentistry | — | NULL | — |
| 1223G0001X | General Practice Dentistry | — | — | — |

## Other

- **Enumeration date:** 04/12/2022
- **Last updated:** 03/20/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1053318634 | NPI | — |