Provider Demographics
NPI:1912655473
Name:SCHUCHART DENTISTRY, PLLC
Entity Type:Organization
Organization Name:SCHUCHART DENTISTRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:BRYANT
Authorized Official - Last Name:SCHUCHART
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:830-570-0423
Mailing Address - Street 1:15042 REDBIRD PASS
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78253-7023
Mailing Address - Country:US
Mailing Address - Phone:830-570-0423
Mailing Address - Fax:
Practice Address - Street 1:1205 ARCADIA PATH
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78245-4847
Practice Address - Country:US
Practice Address - Phone:210-239-2300
Practice Address - Fax:210-239-2301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-14
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental