Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376730200 Individual Practitioner Male Practitioner

Dr. Michael Robert Cusack , DMD

Dentist - General Practice • Durango, CO

Professional Overview & Biography Verified Profile Summary

Dr. Michael Cusack, DMD is a registered healthcare professional specializing in Dentist - General Practice in Durango, CO. Practice services are available at 2323 W 2ND AVE STE B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2323 W 2nd Ave Ste B

Durango, CO 813014646

Telephone 9702740074
Fax 3096997050

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Durango, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.5 Yrs
Regional Practice Density
22 Specialists

Practicing in Durango, CO (2613 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-04-15
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019-027507

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist

NUCC Taxonomy Code: 122300000X

State License CO DEN.00204574

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License NM DD3375

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. James Gray , DDS

Dentist - General Practice

NPI 1164659918

Doctor of Dental Surgery

Dr. Vani Baldwin , DDS

Dentist - General Practice

NPI 1174691968

Doctor of Dental Surgery

Dr. Viktor Maister , DMD

Dentist - General Practice

NPI 1720154149

Doctor of Dental Medicine

Dr. Joshua Hudson , DMD

Dentist - General Practice

NPI 1962765875

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location April 15, 2025

Registered at 2323 W 2ND AVE STE B, DURANGO, CO 813014646 (Tel: 9702740074)

📍
Updated Business Mailing Address April 15, 2025

Registered at 2323 W 2ND AVE STE B, DURANGO, CO 813014646 (Tel: 5053276155)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2025

Dentist (License #DEN.00204574 in CO)

📍
Updated Practice Location March 14, 2022

Registered at 708 E 20TH ST, FARMINGTON, NM 874014205 (Tel: 5053276155)

📍
Updated Business Mailing Address March 14, 2022

Registered at 708 E 20TH ST, FARMINGTON, NM 874014205 (Tel: 5053276155)

📍
Updated Business Mailing Address July 28, 2021

Registered at 2288 E MAIN ST STE C, CORTEZ, CO 813214234 (Tel: 9705643636)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2021

Dentist (License #019-027507 in IL)

NPI Profile Active September 25, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location September 25, 2007

Registered at 2404 E WASHINGTON ST, EAST PEORIA, IL 616111859 (Tel: 3096995521)

📍
Updated Business Mailing Address September 25, 2007

Registered at 2404 E WASHINGTON ST, EAST PEORIA, IL 616111859 (Tel: 3096995521)

👤
Provider Name / Credentials Updated September 25, 2007

Recorded as MICHAEL CUSACK, D.M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2007

Dentist

🟢
Initial NPI Registration & Enumeration September 25, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376730200
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 25, 2007
Last Update: April 15, 2025
Sole Proprietor: No

Mailing Address

2323 W 2nd Ave Ste B

Durango, CO 813014646

Phone: 5053276155

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.