MEDICARE: GUSS SATTEM DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	19806	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1778677	OTHER	TX	UNITED CONCORDIA
2	89D586	OTHER	TX	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1205931334
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GUSS SATTEM DDS

Provider Business Mailing Address
First Line	:	6714 N. NEW BRAUNFELS AVE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78209-3846
Country	:	US
Telephone Number	:	210-824-9272
Fax Number	:	210-832-0724

Provider Business Practice Location Address
First Line	:	6714 N. NEW BRAUNFELS AVE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78209-3846
Country	:	US
Telephone Number	:	210-824-9272
Fax Number	:	210-832-0724

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	05/18/2026

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Directions to “ GUSS SATTEM DDS” Practice Location

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