Provider Demographics
NPI:1659383438
Name:GUSEMANO, FRANK (DDS)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:
Last Name:GUSEMANO
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 1:1360 POST OAK BLVD
Mailing Address - Street 2:SUITE 1740
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-3030
Mailing Address - Country:US
Mailing Address - Phone:713-993-9814
Mailing Address - Fax:713-993-9817
Practice Address - Street 1:1360 POST OAK BLVD
Practice Address - Street 2:SUITE 1740
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-3030
Practice Address - Country:US
Practice Address - Phone:713-993-9814
Practice Address - Fax:713-993-9817
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX74821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice