MEDICARE: DENNIS I. SCHUSTER, MD.DDS.PA

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	208200000X	Plastic Surgery Physician	E9977	TX

General Provider Information

NPI Number	:	1710330527
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENNIS I. SCHUSTER, MD.DDS.PA

Provider Business Mailing Address
First Line	:	747 8TH AVE
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-2503
Country	:	US
Telephone Number	:	817-335-6801
Fax Number	:	817-335-4663

Provider Business Practice Location Address
First Line	:	747 8TH AVE
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-2503
Country	:	US
Telephone Number	:	817-335-6801
Fax Number	:	817-335-4663

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DENNIS IRWIN SCHUSTER
Credential	:	M.D.
Telephone Number	:	817-335-6801

Provider Enumeration Date	:	07/16/2016
Last Update Date	:	07/16/2016

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