Provider Demographics
NPI:1053457382
Name:BUSSA, HARRY I JR (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:I
Last Name:BUSSA
Suffix:JR
Gender:M
Credentials:DDS, MS
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Mailing Address - Street 1:23150 WESTHEIMER PKWY
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-3603
Mailing Address - Country:US
Mailing Address - Phone:281-392-1155
Mailing Address - Fax:281-395-2481
Practice Address - Street 1:23150 WESTHEIMER PKWY
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-3603
Practice Address - Country:US
Practice Address - Phone:281-392-1155
Practice Address - Fax:281-395-2481
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX107751223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics