Provider Demographics
NPI:1417835273
Name:YOUSIF GAGI DMD PLLC
Entity type:Organization
Organization Name:YOUSIF GAGI DMD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YOUSIF
Authorized Official - Middle Name:
Authorized Official - Last Name:GAGI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:810-724-3707
Mailing Address - Street 1:2177 WESTRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48316-3312
Mailing Address - Country:US
Mailing Address - Phone:586-480-8996
Mailing Address - Fax:
Practice Address - Street 1:2034 S ALMONT AVE
Practice Address - Street 2:
Practice Address - City:IMLAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48444-9732
Practice Address - Country:US
Practice Address - Phone:810-724-3707
Practice Address - Fax:810-724-1299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental