MEDICARE: DR. ROBERT ALEXANDER BUSTO D.M.D.

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	DN17482	FL
2	122300000X	Dentist	DN17482	FL
3	1223D0004X	Dental Anesthesiology	30.024978	OH
4	1223D0004X	Dental Anesthesiology	39422	TX

General Provider Information

NPI Number	:	1811102338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT ALEXANDER BUSTO D.M.D.

Provider Business Mailing Address
First Line	:	25722 KINGSLAND BLVD STE 103D
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-2641
Country	:	US
Telephone Number	:	346-558-5881
Fax Number	:

Provider Business Practice Location Address
First Line	:	8545 GULF FWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77017-5055
Country	:	US
Telephone Number	:	713-944-7700
Fax Number	:

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

Provider Enumeration Date	:	05/10/2007
Last Update Date	:	02/11/2026

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