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General NPI Number Information
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NPI Number | 1811102338
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Entity Type | Individual
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Provider Name | ROBERT ALEXANDER BUSTO D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 08/15/2024
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Provider Practice Location Address
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Address Line | 6150 HIGHWAY 6 N
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City | HOUSTON
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State | TX
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Zip | 77084-1304
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Country | US
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Telephone | 305-742-8161
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Fax |
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Provider Business Mailing Address
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Address Line | 7107 KINGLET CT
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City | KATY
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State | TX
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Zip | 77493-4201
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Country | US
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Telephone | 305-742-8161
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223D0004X
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Taxonomy Name | Dental Anesthesiology
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License Number | 30.024978
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN17482
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 1223D0004X
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Taxonomy Name | Dental Anesthesiology
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License Number | 39422
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN17482
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License Number State | FL
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