DR. CHARLES ANTHONY CUSIMANO DMD NPI 1669735270

NPI Information

  • NPI: 1669735270
  • Provider Name: DR. CHARLES ANTHONY CUSIMANO, DMD
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 301 SAINT JOSEPH ST
    MOBILE, AL
    ZIP 36602
  • Phone: (251) 433-7717

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NPI Details

DR. Charles Anthony Cusimano, DMD is a general practice dentist in Mobile, AL. The provider is 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. DR. Charles Anthony Cusimano, DMD NPI is 1669735270. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

301 SAINT JOSEPH ST
MOBILE, AL
ZIP 36602-037
Phone: (251) 433-7717
Fax: (251) 433-9384

The NPI 1669735270 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 6/19/2012 and was last updated on 6/19/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice5922ALABAMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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