Provider Demographics
NPI:1356834956
Name:SCHUCHART, CHRISTOPHER BRYANT (DDS)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:BRYANT
Last Name:SCHUCHART
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 LA CIEBA DR
Mailing Address - Street 2:
Mailing Address - City:JOURDANTON
Mailing Address - State:TX
Mailing Address - Zip Code:78026-4514
Mailing Address - Country:US
Mailing Address - Phone:830-570-0423
Mailing Address - Fax:
Practice Address - Street 1:244 FM 306 # 118
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-2481
Practice Address - Country:US
Practice Address - Phone:830-201-1223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-08
Last Update Date:2018-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34056122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist