Provider Demographics
NPI:1366646770
Name:BUSKA, KURT B (DDS)
Entity Type:Individual
Prefix:DR
First Name:KURT
Middle Name:B
Last Name:BUSKA
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 1:5030 ANCHOR WAY, SUITE 8
Mailing Address - Street 2:GALLOWS BAY
Mailing Address - City:CHRISTIANSTED
Mailing Address - State:VI
Mailing Address - Zip Code:00820-4692
Mailing Address - Country:US
Mailing Address - Phone:340-719-7000
Mailing Address - Fax:
Practice Address - Street 1:5030 ANCHOR WAY, SUITE 8
Practice Address - Street 2:GALLOWS BAY
Practice Address - City:CHRISTIANSTED
Practice Address - State:VI
Practice Address - Zip Code:00820-4692
Practice Address - Country:US
Practice Address - Phone:340-719-7000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2012-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADY0339121223G0001X
VI14001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice