Healthcare Provider Details

I. General information

NPI: 1134041528
Provider Name (Legal Business Name): OLIVIA HUSZTI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 N MILFORD RD STE 200
MILFORD MI
48381-1047
US

IV. Provider business mailing address

1530 W BUNO RD
MILFORD MI
48381-3128
US

V. Phone/Fax

Practice location:
  • Phone: 248-684-8448
  • Fax:
Mailing address:
  • Phone: 248-884-7020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number2901603045
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: