MEDICARE: DR. ALEX SCHUESSLER 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	DN9310	FL

General Provider Information

NPI Number	:	1770522039
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEX SCHUESSLER DDS

Provider Business Mailing Address
First Line	:	7025 BERACASA WAY
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33433-3443
Country	:	US
Telephone Number	:	561-394-6444
Fax Number	:	561-394-2939

Provider Business Practice Location Address
First Line	:	7025 BERACASA WAY
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33433-3443
Country	:	US
Telephone Number	:	561-394-6444
Fax Number	:	561-394-2939

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

Provider Enumeration Date	:	06/05/2006
Last Update Date	:	07/08/2007

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