Individual
DR. ROBERT DOUGLAS CUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
1100 MICHIGAN AVE, MARYSVILLE, MI 48040-2112
(810) 364-9900
(810) 364-9901
Mailing address
1100 MICHIGAN AVE, MARYSVILLE, MI 48040-2112
(810) 364-9900
(810) 364-9901
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901009408
MI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901009408
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4020351
—
MI
Enumeration date
08/18/2006
Last updated
09/11/2025
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